Individual
AVA KELLEY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
39 GREEN ST, NEWBURYPORT, MA 01950-2652
(978) 465-8761
Mailing address
149 ORCHARD ST, BYFIELD, MA 01922-1606
(978) 778-5499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5735
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2024
Last updated
11/06/2024
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