Individual
DR. KELLY KAGEYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
344 E HAMILTON AVE, CAMPBELL, CA 95008-0207
(408) 376-2700
Mailing address
344 E HAMILTON AVE, CAMPBELL, CA 95008-0207
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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