Individual
KELLY ELIZABETH PAULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12908T
CA
152W00000X
Optometrist
362T
AK
152W00000X
Optometrist
5681
OH
152W00000X
Optometrist
OD60331045
WA
Other
Enumeration date
08/16/2006
Last updated
08/10/2026
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