Corey B. Kelly O.d.p.c.

NPI #1386826097 in Dubuque, Iowa

Provider Information

NPI Number: 1386826097
Entity Type: Organization
Organization Name: Corey B. Kelly O.d.p.c.
Primary Specialty: Optometrist
Enumeration Date: Dec 4, 2007
Last Updated: Dec 4, 2007

Practice Location

Address: 555 JOHN F KENNEDY RD
Address 2: SUITE 665
City: Dubuque
State: Iowa
ZIP Code: 52002-5202
Phone: (563) 582-5198

Authorized Official

Name: DR. COREY B. KELLY, O.D.
Title: OPTOMETRIST
Phone: (563) 582-5198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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