Individual
DR. KEITH L. SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
59 CAROTHERS RD, NEWPORT, KY 41071-2415
(859) 491-1010
(859) 292-3362
Mailing address
59 CAROTHERS RD, NEWPORT, KY 41071-2415
(859) 491-1010
(859) 292-3362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1023DT
KY
152W00000X
Optometrist
3691/T190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010239
—
KY
Enumeration date
08/23/2005
Last updated
03/04/2008
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