Individual
DR. KELLY KAGEYAMA
Active
Individual
DR. KELLY KAGEYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
14490 TLG
CA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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