Individual
MR. TIMOTHY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5031 FREDERICA ST, OWENSBORO, KY 42301-7410
(270) 685-3090
(270) 685-3039
Mailing address
5031 FREDERICA ST, OWENSBORO, KY 42301-7410
(270) 685-3090
(270) 685-3039
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
261293
KY
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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