Individual
HALE MATTHEW KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1220 SUMMIT VIEW DRIVE, LOUISVILLE, CO 80027
(303) 665-7797
(303) 673-9578
Mailing address
1220 SUMMIT VIEW DRIVE, LOUISVILLE, CO 80027
(303) 665-7797
(303) 673-9578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1479
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08014706
—
CO
Enumeration date
07/26/2005
Last updated
11/23/2007
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