Individual
KIMBERLY KAY MIKICIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
3657 E MAIN ST, WHITEHALL, OH 43213-2924
(614) 239-7829
(614) 239-7834
Mailing address
3657 E MAIN ST, WHITEHALL, OH 43213-2924
(614) 239-7829
(614) 239-7834
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6688SC
OH
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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