Derr, Kirsten P.

Derr, Kirsten P. is an individual health care provider with primary practice located at 190 Talisman Dr Unit B4 , Pagosa Springs CO 81147-9171. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Derr, Kirsten P. can be contacted via phone (970) 731-4347.

Contact Information

Primary practice address
190 Talisman Dr Unit B4 Pagosa Springs CO 81147-9171
Phone: (970) 731-4347
Fax: (970) 731-4772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 418 New Mexico
Eye and Vision Services Providers / Optometrist 152W00000X OPT.0003642 Colorado

Profile Details

NPI number 1558356980
LBN Legal business name Derr, Kirsten P.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Dec 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558356980 NPPES
New Mexico Other P00151450 RRB MEDICARE RAILROAD
New Mexico MEDICAID 881369 RRB MEDICARE RAILROAD
New Mexico MEDICAID L3596 RRB MEDICARE RAILROAD
New Mexico MEDICAID 9000196852 RRB MEDICARE RAILROAD
New Mexico Other NM02P497 RRB MEDICARE RAILROAD

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