DR. Kelly L Joedicke, O.D.

NPI #1578682977 in Chantilly, Virginia

Provider Information

NPI Number: 1578682977
Entity Type: Individual
Name: DR. Kelly L Joedicke, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist - Corneal and Contact Management
Credential: O.D.
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3910 CENTREVILLE RD
Address 2: #100
City: Chantilly
State: Virginia
ZIP Code: 20151-3279
Phone: (703) 830-6380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X	Primary

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