DR. Kelly Faust Duke JR., O.D.

NPI #1558458125 in Viera, Florida

Provider Information

NPI Number: 1558458125
Entity Type: Individual
Name: DR. Kelly Faust Duke JR., O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 6, 2006
Last Updated: May 29, 2012

Practice Location

Address: 2271 TOWN CENTER AVE
Address 2: STE 101
City: Viera
State: Florida
ZIP Code: 32940-6108
Phone: (321) 632-8356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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