person
Pamela Wilson
Optician in La Grange, Kentucky
NPI 1194450122

Pamela Wilson is a Optician based in La Grange, KY and is specialized in Optician. Pamela Wilson practices in La Grange, KY. The NPI Number for Pamela Wilson is 1194450122 and holds a License No. 110174Q (Kentucky).

The current practice location address for Pamela Wilson is 1015 New Moody Ln, La Grange, KY and can be reached out via phone at 502-222-5292 and via fax at 502-222-5274.

Location: 1015 New Moody Ln, La Grange, KY, 40031-9142
person
Provider Profile Details
NPI Number
1194450122
Provider Name
Pamela Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 New Moody Ln, La Grange, KY, 40031-9142
Phone Number
502-222-5292
Fax Number
502-222-5274
Provider Enumeration Date
07/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 New Moody Ln
City
State
Zip
40031-9142
Phone Number
502-222-5292
Fax Number
502-222-5274
person
Provider Business Mailing Address Details
Address
1015 New Moody Ln
City
State
Zip
40031-9142
Phone Number
502-222-5292
Fax Number
502-222-5274
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
110174Q (Kentucky)
Definition
Definition to come...
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