Individual
BERNARDETTE QUIMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 WALMART WAY, RADCLIFF, KY 40160-1471
(270) 352-2707
Mailing address
1165 WALMART WAY, RADCLIFF, KY 40160-1471
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
260338
KY
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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