Individual
DR. JARED KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
595 S ILLINOIS AVE, MASON CITY, IA 50401-4441
(641) 425-5916
Mailing address
1521 PLYMOUTH RD, MASON CITY, IA 50401-1411
(641) 425-5916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002393
IA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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