Katherine Kimble Wonch O.D.

NPI 1710154430 - Optometrist - 152W00000X

NPI Details
NPI 1710154430
Gender Female
Enumeration Date 05/12/2008
Last Updated 03/19/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
3601 HIGHWAY 190
SUITE B
MANDEVILLE LA, 70471-8630, US
Phone (985) 892-1228
Fax (985) 892-3599
Business Location
3601 HIGHWAY 190
SUITE B
MANDEVILLE LA, 70471-8630, US
Phone (985) 892-1228
Fax (985) 892-3599
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 1360-494T
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According to our database, Katherine Kimble Wonch O.D. NPI is 1710154430, taxonomy code is 152W00000X and license number is 1360-494T, license state is located at Louisiana. Katherine Kimble Wonch O.D. physically located at 3601 Highway 190, Mandeville LA, 70471-8630. NPI Number Katherine Kimble Wonch O.D. has the Individual type.

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1710154430 NPI number is provided on an as is basis without warranty of any kind. 1710154430 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Kimble Wonch O.D. are for informational purposes only.