Brandon John Kellum, DISPENSING OPTICIAN

NPI #1689411340 in Soldotna, Alaska

Provider Information

NPI Number
1689411340
Entity Type
Individual
Name
Brandon John Kellum, DISPENSING OPTICIAN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
DISPENSING OPTICIAN
Enumeration Date
Jul 10, 2024
Last Updated
Jul 10, 2024

Practice Location

Address
230 E MARYDALE AVE
State
Alaska
ZIP Code
99669-7648
Phone
(907) 262-3119

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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