Individual
KELLY TARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 HOPKINSVILLE ST, GREENVILLE, KY 42345-1214
(270) 338-2400
(270) 338-2402
Mailing address
224 HOPKINSVILLE ST, GREENVILLE, KY 42345-1214
(270) 338-2400
(270) 338-2402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010460
—
KY
Enumeration date
06/06/2006
Last updated
04/15/2026
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