Individual
DR. KERRY ALLEN OKELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6705 REDWOOD RD, WEST JORDAN, UT 84084-2402
(801) 268-0866
(801) 268-2092
Mailing address
6705 REDWOOD RD, WEST JORDAN, UT 84084-2402
(801) 268-0866
(801) 268-2092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112-513-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41008204
RAILROAD MEDICARE
UT
01
—
DR 3610
RETIRED RAILROAD MEDICARE
UT
Enumeration date
08/11/2006
Last updated
01/31/2014
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