Individual
WESLEY GRANT QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
341 COURT ST, PAINTSVILLE, KY 41240-1051
(606) 789-4675
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2483DT
KY
Other
Enumeration date
07/27/2026
Last updated
08/07/2026
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