Ronald M Kichura Od LLC

NPI #1386088011 in Jber, Alaska

Provider Information

NPI Number: 1386088011
Entity Type: Organization
Organization Name: Ronald M Kichura Od LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 5953 ZEAMER AVE
City: Jber
State: Alaska
ZIP Code: 99506-3702
Phone: (907) 580-1150

Authorized Official

Name: DR. RONALD M KICHURA, OD
Title: OWNER/PROVIDER
Phone: (907) 580-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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