Individual
DR. DANIEL KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 N VIRGINIA ST, FARMVILLE, VA 23901-1537
(434) 392-8113
(434) 392-5934
Mailing address
12018 W BROAD ST, HENRICO, VA 23233-7796
(804) 287-4200
(804) 364-3379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000544
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009235060
—
VA
01
—
242205
ANTHEM
VA
Enumeration date
08/21/2006
Last updated
03/18/2025
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