Wendy Sowell Gibson Od

NPI #1114121324 in Benton, Kentucky

Provider Information

NPI Number: 1114121324
Entity Type: Organization
Organization Name: Wendy Sowell Gibson Od
Primary Specialty: Optometrist
Enumeration Date: Jun 12, 2007
Last Updated: Nov 14, 2013

Practice Location

Address: 1512 MAIN ST
City: Benton
State: Kentucky
ZIP Code: 42025-1607
Phone: (270) 527-0951

Authorized Official

Name: DR. WENDY GIBSON, OD
Title: OWNER
Phone: (270) 527-0951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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