Individual
KELLY C-K TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4281 LENNON RD, FLINT, MI 48507-1024
(810) 720-9111
(810) 720-9119
Mailing address
4281 LENNON RD, FLINT, MI 48507-1024
(810) 720-9111
(810) 720-9119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004430
MI
152W00000X
Optometrist
5725
OH
Other
Enumeration date
08/20/2007
Last updated
09/26/2012
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