Jennifer Kathleen Burke O.D.

NPI 1689962748 - Optometrist - 152WV0400X

NPI Details
NPI 1689962748
Gender Female
Enumeration Date 07/11/2011
Last Updated 09/02/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
4175S GRAND CANYON DR 105
LAS VEGAS NV, 89147-7155, US
Phone (702) 912-4254
Fax (702) 847-7624
Business Location
4175S GRAND CANYON DR 105
LAS VEGAS NV, 89147-7155, US
Phone (702) 912-4254
Fax (702) 947-0471
Toxanomy
Taxonomy Code 152WV0400X
License State Nevada
License Number 708
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According to our database, Dr. Jennifer Kathleen Burke O.D. NPI is 1689962748, taxonomy code is 152WV0400X and license number is 708, license state is located at Nevada. Jennifer Kathleen Burke O.D. physically located at 4175s Grand Canyon Dr 105, Las Vegas NV, 89147-7155. NPI Number Jennifer Kathleen Burke O.D. has the Individual type.

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1689962748 NPI number is provided on an as is basis without warranty of any kind. 1689962748 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Kathleen Burke O.D. are for informational purposes only.