Individual
DR. KELLY CHYLECE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(602) 710-1000
Mailing address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(602) 710-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010237
IL
152W00000X
Optometrist
OFC39
FL
152WP0200X
Pediatric Optometrist
Primary
1740
AZ
Other
Enumeration date
09/14/2009
Last updated
08/05/2015
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