| NPI | 1184172579 |
|---|---|
| Other Name | IVORY A. KINSLOW, MDPA OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SHARON WINN CEO 870-862-2340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2574) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR C7743) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-03-05 |