Christopher Lee Kelly O.D.

NPI 1801827266 - Optometrist - 152W00000X

NPI Details
NPI 1801827266
Gender Male
Enumeration Date 07/05/2006
Last Updated 02/16/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1720 HIGHWAY 59 S
THIEF RIVER FALLS MN, 56701-4331, US
Phone (218) 681-4747
Fax
Business Location
PO BOX 2010
FARGO ND, 58122-2484, US
Phone (701) 234-2000
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 3167ATI
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According to our database, Dr. Christopher Lee Kelly O.D. NPI is 1801827266, taxonomy code is 152W00000X and license number is 3167ATI, license state is located at Oregon. Christopher Lee Kelly O.D. physically located at 1720 Highway 59 S, Thief River Falls MN, 56701-4331. NPI Number Christopher Lee Kelly O.D. has the Individual type.

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1801827266 NPI number is provided on an as is basis without warranty of any kind. 1801827266 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Lee Kelly O.D. are for informational purposes only.