DR. Kelly Lynne Hale, O.D.

NPI #1336122761 in Centreville, Virginia

Provider Information

NPI Number: 1336122761
Entity Type: Individual
Name: DR. Kelly Lynne Hale, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 21, 2005
Last Updated: Jun 28, 2010

Practice Location

Address: 13880 BRADDOCK RD
Address 2: SUITE 110
City: Centreville
State: Virginia
ZIP Code: 20121-2459
Phone: (703) 830-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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