Individual
DR. KIMBERLY S THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3998 POWELL RD, POWELL, OH 43065-7662
(614) 336-3727
Mailing address
4240 SCIOTO PKWY, POWELL, OH 43065-8075
(614) 517-7167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1295
NE
152W00000X
Optometrist
13027
CA
152W00000X
Optometrist
Primary
5660
OH
Other
Enumeration date
07/19/2006
Last updated
05/07/2015
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