Kim E Neely

NPI #1992982912 in Putnam, Connecticut

Provider Information

NPI Number
1992982912
Entity Type
Organization
Organization Name
Kim E Neely
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 22, 2008
Last Updated
Sep 8, 2008

Practice Location

Address
5 KENNEDY DR
City
Putnam
ZIP Code
06260-1939
Phone
(860) 928-6321

Authorized Official

Name
MRS. ERICA O'BRIEN, L.O.
Title
LICENSED OPTICIAN
Phone
(860) 928-6321

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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