Robert W. Kelley Odpc

NPI #1578655528 in Thompson Falls, Montana

Provider Information

NPI Number: 1578655528
Entity Type: Organization
Organization Name: Robert W. Kelley Odpc
Primary Specialty: Optometrist
Enumeration Date: Sep 28, 2006
Last Updated: Feb 1, 2008

Practice Location

Address: 401 MAIN STREET
City: Thompson Falls
State: Montana
ZIP Code: 59873-0399
Phone: (406) 827-4327

Authorized Official

Name: ROBERT W KELLEY
Title: PRESIDENT
Phone: (406) 827-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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