Theodore Kelly, OD

NPI #1225018427 in Pensacola, Florida

Provider Information

NPI Number
1225018427
Entity Type
Individual
Name
Theodore Kelly, OD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jan 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1972 DUNLAP ST
State
Florida
ZIP Code
32507-1400
Phone
(850) 452-5242

Specialties & Taxonomy Codes

Specialty
Optometrist

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