Nicholas J Kelsey

NPI #1700163839 in Buhl, Idaho

Provider Information

NPI Number: 1700163839
Entity Type: Organization
Organization Name: Nicholas J Kelsey
Primary Specialty: Optometrist
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 503 BROADWAY AVE S
Address 2: SUITE A
City: Buhl
State: Idaho
ZIP Code: 83316-1312
Phone: (208) 944-9008

Authorized Official

Name: DR. NICHOLAS J KELSEY, OD
Title: OPTOMETRIS
Phone: (208) 731-8974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist	152W00000X	Primary

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