Individual
DR. KELLEY D KWEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
121 HIGHWAY 332 W STE 100, LAKE JACKSON, TX 77566
(979) 480-9424
(979) 480-9426
Mailing address
121 HIGHWAY 332 W STE 100, LAKE JACKSON, TX 77566
(979) 480-9424
(979) 480-9426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7999TG
TX
Other
Enumeration date
07/26/2012
Last updated
07/16/2014
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