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Individual

DR. KATHERINE E SELLECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004379
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M43420002
DME
MI
01
0Z81069
BCBSM
MI
01
4901004379
STATE LICENSE
MI
05
944933448
MI
Enumeration date
07/16/2006
Last updated
01/10/2025
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