DR. Stephen Michael Kelly, O.D.

NPI #1770652349 in San Bruno, California

Provider Information

NPI Number: 1770652349
Entity Type: Individual
Name: DR. Stephen Michael Kelly, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 851 CHERRY AVE
Address 2: BAYHILL CENTER #25
City: San Bruno
State: California
ZIP Code: 94066-2900
Phone: (650) 873-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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