Individual
KIMOTHY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC, LDO
Contact information
Practice address
100 MALL DR, STEUBENVILLE, OH 43952-3092
(740) 266-7231
(740) 266-7238
Mailing address
100 MALL DR, STEUBENVILLE, OH 43952-3092
(740) 266-7231
(740) 266-7238
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017837-S
OH
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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