Organization
THE KELLY EYE CENTER PA
Active
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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