Provider Demographics
NPI:1437675014
Name:DUNN, KIRSTEN ELISE (ABO)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:ELISE
Last Name:DUNN
Suffix:
Gender:F
Credentials:ABO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1499 REGAL ROW STE 505A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3630
Mailing Address - Country:US
Mailing Address - Phone:972-629-9853
Mailing Address - Fax:
Practice Address - Street 1:1499 REGAL ROW STE 505A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3630
Practice Address - Country:US
Practice Address - Phone:972-629-9853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician