Organization
THE KELLY EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WALKER KELLY MD (MEDICAL DIRECTOR)
(919) 282-1100
Entity
Organization
Contact information
Practice address
8851 ELLSTREE LN, SUITE 200, RALEIGH, NC 27617-2045
(919) 282-1100
(919) 282-1119
Mailing address
8851 ELLSTREE LN, SUITE 200, RALEIGH, NC 27617-2045
(919) 282-1100
(919) 282-1119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013HC
—
NC
Enumeration date
07/04/2006
Last updated
03/01/2023
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