Individual
KRISTA N ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3942 DAVIS STUART RD, RONCEVERTE, WV 24970-0260
(304) 793-3937
(304) 793-2203
Mailing address
3942 DAVIS STUART RD, RONCEVERTE, WV 24970-0260
(304) 793-3937
(304) 793-2203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1054OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054OD
WVBO
WV
Enumeration date
02/25/2009
Last updated
03/20/2017
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