Individual
DR. KIMBERLY S. CASTELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
99 7TH ST, WELLSBURG, WV 26070-1656
(304) 737-3440
Mailing address
9 MAPLE AVE, WHEELING, WV 26003-5732
(757) 403-2405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1082-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009235370
—
VA
Enumeration date
08/29/2006
Last updated
02/26/2024
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