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DR. JENNIFER KATHLEEN BURKE O.D.

Eye and Vision Services Providers Optometrist

Provider NPI: 1689962748

Provider Information:
DR. JENNIFER KATHLEEN BURKE O.D.
Gender: F
Not Sole Proprietor

Practice Location:
4175 S GRAND CANYON DR STE 105  LAS VEGAS, NV 89147-7155 US
Tel: 702-912-4254  Fax: 702-847-7624

Business Mailing Address:
4175 S GRAND CANYON DR STE 105  LAS VEGAS, NV 89147-7155 US
Tel: 702-912-4254  Fax: 702-847-7624

NPI Information:
NPI: 1689962748
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NV708
N152WV0400XEye and Vision Services Providers
Optometrist
NV708

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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