Individual
DR. KIMBERLY A. AGOSTINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
921 DRINKER TPKE STE 15, COVINGTON TWP, PA 18444-7948
(570) 842-0331
Mailing address
921 DRINKER TPKE STE 15, COVINGTON TWP, PA 18444-7948
(570) 842-0331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000799
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104834266
NPI
PA
01
—
1902835671
NPI INDIVIDUAL
PA
Enumeration date
07/03/2006
Last updated
09/02/2014
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