Joe Chaddrick Kea O.D.

NPI 1053404012 - Optometrist - 152W00000X

NPI Details
NPI 1053404012
Gender Male
Enumeration Date 10/02/2006
Last Updated 09/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3437 TUPELO COMMONS
SUITE 101
TUPELO MS, 38804-9791, US
Phone (662) 842-2000
Fax (662) 842-0379
Business Location
3437 TUPELO COMMONS STE 101
TUPELO MS, 38804-9791, US
Phone (662) 231-1895
Fax (662) 842-0379
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 578
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According to our database, Dr. Joe Chaddrick Kea O.D. NPI is 1053404012, taxonomy code is 152W00000X and license number is 578, license state is located at Mississippi. Joe Chaddrick Kea O.D. physically located at 3437 Tupelo Commons, Tupelo MS, 38804-9791. NPI Number Joe Chaddrick Kea O.D. has the Individual type.

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1053404012 NPI number is provided on an as is basis without warranty of any kind. 1053404012 is maintained by the National Plan & Provider Enumeration System. The contents of Joe Chaddrick Kea O.D. are for informational purposes only.