Individual
KELLY T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 MAIN ST, ANSONIA, CT 06401-2303
(203) 732-3937
(203) 465-1481
Mailing address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 465-1415
(203) 465-1481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002872
CT
152W00000X
Optometrist
007550
NY
Other
Enumeration date
08/08/2010
Last updated
03/14/2021
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