Individual
KELSEY K BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2878 MILLER DR, PLYMOUTH, IN 46563-8094
(574) 935-3937
(574) 936-4942
Mailing address
2878 MILLER DR, PLYMOUTH, IN 46563-8094
(574) 935-3937
(574) 936-4942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003635A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000676765
ANTHEM
IN
05
—
200988340
—
IN
01
—
AO5001
EYEMED
IN
Enumeration date
07/13/2010
Last updated
09/22/2020
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