Individual
DR. KIMBERLY N. STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5335 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-9669
(614) 836-9703
Mailing address
5335 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-9669
(614) 836-9703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073144
—
OH
Enumeration date
02/27/2007
Last updated
06/19/2014
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