Individual
KELSEY MOODY MILESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3316 3RD ST S STE 103, JACKSONVILLE, FL 32250-6090
(904) 241-7865
(904) 249-2352
Mailing address
3316 3RD ST S STE 103, JACKSONVILLE, FL 32250-6090
(904) 241-7865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG003028
PA
152W00000X
Optometrist
Primary
OPT003078
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13584689
CAQH NUMBER
PA
Enumeration date
07/13/2015
Last updated
08/30/2022
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