DR. Kelly John Corbridge, O.D.

NPI #1902098007 in Kingman, Arizona

Provider Information

NPI Number: 1902098007
Entity Type: Individual
Name: DR. Kelly John Corbridge, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 13, 2007
Last Updated: May 12, 2008

Practice Location

Address: 2187 AIRWAY AVE.
City: Kingman
State: Arizona
ZIP Code: 86409-3669
Phone: (928) 757-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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