Mr. Kevin Donald Kooistra, OPTICIAN
Mr. Kevin Donald Kooistra, OPTICIAN is an Optician in Clifton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
Practice location Address checks out
1033 Clifton Ave Ste 107Clifton, NJ 07013-3517
Phone: (973) 471-1225
Fax: (973) 472-4835
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 31TD00190700 (NJ) |
|---|
Record details
| NPI number | 1326113994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICIAN |
| Sole proprietor | No |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | October 26, 2011 |
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