# DR. KIMBERLY ANNE DEUGWILLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750391579
- **Gender:** F
- **Credential:** OPTOMETRIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 0618001696 | VA | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OEG001814 | PA | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | TA2051 | MD | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/21/2008