Individual
KIMLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17260 ROYALTON RD, STRONGSVILLE, OH 44136-4400
(440) 783-5003
Mailing address
17260 ROYALTON RD, STRONGSVILLE, OH 44136-4400
(440) 783-5003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006930
OH
Other
Enumeration date
02/03/2021
Last updated
09/28/2021
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