Individual
KIMBERLY CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4101 CAMPUS RIDGE RD, ST 200, MATTHEWS, NC 28105
(704) 234-1930
Mailing address
17480 MYSTIC VALLEY CT, NORTHVILLE, MI 48168-6849
(201) 783-9027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2478
SC
Other
Enumeration date
04/15/2024
Last updated
07/18/2024
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