Kellie D Stennis Od Pc

NPI 1235104233 - Optometrist - 152W00000X

NPI Details
NPI 1235104233
Enumeration Date 02/22/2006
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLIE DAWN KELLIE
Position OWNER PRESIDENT
Phone (303) 654-7933
Fax (303) 637-9002
Practice Location
193 S 27TH AVE STE 400
BRIGHTON CO, 80601-2662, US
Phone (303) 654-7933
Fax (303) 637-9002
Business Location
193 S 27TH AVE
STE 400
BRIGHTON CO, 80601-2662, US
Phone (303) 654-7933
Fax (303) 637-9002
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number OPT1833
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According to our database, Kellie D Stennis Od Pc NPI is 1235104233, taxonomy code is 152W00000X and license number is OPT1833, license state is located at Colorado. Kellie D Stennis Od Pc physically located at 193 S 27th Ave Ste 400, Brighton CO, 80601-2662. NPI Number 1033115704 has the healthcare provider type.

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1235104233 NPI number is provided on an as is basis without warranty of any kind. 1235104233 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie D Stennis Od Pc are for informational purposes only.