Kelly Keane Od Professional Corporation

NPI #1194240358 in San Diego, California

Provider Information

NPI Number: 1194240358
Entity Type: Organization
Organization Name: Kelly Keane Od Professional Corporation
Primary Specialty: Optometrist
Enumeration Date: Aug 9, 2017
Last Updated: Jul 24, 2021

Practice Location

Address: 5680 BALBOA AVE
City: San Diego
State: California
ZIP Code: 92111-2706
Phone: (858) 278-2837

Authorized Official

Name: DR. KELLY KEANE, OD
Title: OPTOMETRIST
Phone: (973) 557-5521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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