Individual
KELLY ANDREW INDOVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 E OSBORN RD, SUITE 100, PHOENIX, AZ 85012-2325
(602) 200-0770
(602) 294-0363
Mailing address
300 E OSBORN RD, SUITE 100, PHOENIX, AZ 85012-2325
(602) 200-0770
(602) 294-0363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
D07763358
AZ
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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