| NPI | 1285636084 |
|---|---|
| Other Name | CARRIE KIMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 960-OD) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1532DT) |
| 152W00000X Optometrist (Licence: OH 5264T2171) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2021-04-15 |