Provider Demographics
NPI:1548946114
Name:HODNE, KIMBERLIE K (OD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLIE
Middle Name:K
Last Name:HODNE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3343 CENTER GROVE DR STE D
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-5264
Mailing Address - Country:US
Mailing Address - Phone:563-588-2093
Mailing Address - Fax:563-588-0590
Practice Address - Street 1:3343 CENTER GROVE DR STE D
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-5264
Practice Address - Country:US
Practice Address - Phone:563-588-2093
Practice Address - Fax:563-588-0590
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120541152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist