Individual
DR. KATHRYN SOVINE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
603 COUNTRY CLUB DR, NEWARK, OH 43055-2154
(740) 344-1312
(740) 344-1365
Mailing address
603 COUNTRY CLUB DR, NEWARK, OH 43055-2154
(740) 344-1312
(740) 344-1365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH5165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269781
—
OH
Enumeration date
02/14/2007
Last updated
08/30/2010
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