Individual
KELLEE E. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1537 J ST, BEDFORD, IN 47421-3839
(812) 675-0890
Mailing address
1201 BOSTON POST RD, SUITE 2063, MILFORD, CT 06460-2703
(203) 878-6574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002856
CT
152W00000X
Optometrist
Primary
18004082A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427311950
—
CT
Enumeration date
06/19/2012
Last updated
09/10/2018
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