Individual
KELLY MARIE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
999 WASHINGTON AVE, HOLLAND, MI 49423-7722
(616) 396-2316
(616) 396-0085
Mailing address
999 WASHINGTON AVE, HOLLAND, MI 49423-7722
(616) 396-2316
(616) 396-0085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005374
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2019
Last updated
10/21/2021
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