Individual
DR. KELLI PRICE
Active
Individual
DR. KELLI PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5147 T2046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04912
PARAMOUNT
OH
05
—
2632753
—
OH
Enumeration date
09/06/2006
Last updated
05/28/2010
Update your record
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