Individual
DR. MEGHAN R. KELLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
221 ADDISON RD., SUITE 105, GLASTONBRY, CT 06033-5608
(860) 838-3838
(860) 838-3840
Mailing address
221 ADDISON RD., SUITE 105, GLASTONBRY, CT 06033-5608
(860) 838-3838
(860) 838-3840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2967
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107229503
—
CT
05
—
8067585
—
CT
Enumeration date
11/11/2015
Last updated
08/16/2023
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