Individual
DR. AMY DEE-LYTE BUCHANAN KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
212 S MAIN STREET, DOBSON, NC 27017
(336) 386-8526
(336) 386-4180
Mailing address
220 S MAIN ST, DOBSON, NC 27017-8428
(423) 967-6531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002153
VA
152W00000X
Optometrist
2055-IOD
WV
152W00000X
Optometrist
Primary
2286
NC
152W00000X
Optometrist
3007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114295789
—
VA
Enumeration date
12/09/2011
Last updated
11/25/2022
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