Organization
MARGENA KELTNER OD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGENA LYNN KELTNER OD (PRESIDENT)
(270) 849-3434
Entity
Organization
Contact information
Practice address
205 RICHMOND ST, MT VERNON, KY 40456
(606) 256-3937
Mailing address
PO BOX 1050, MT VERNON, KY 40456
(606) 256-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000362
—
KY
Enumeration date
10/12/2006
Last updated
06/15/2011
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