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MRS. KELLI SUZANNE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ABOC

Contact information

Practice address
1508 6TH AVE, HUNTINGTON, WV 25701-2902
(304) 522-6256
(304) 522-8313
Mailing address
1508 6TH AVE, HUNTINGTON, WV 25701-2902
(304) 522-8313

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S. 7050
OH

Other

Enumeration date
01/15/2007
Last updated
06/27/2008
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