Individual
KELLY H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11941 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 884-2380
(314) 884-2381
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2012027367
MO
Other
Enumeration date
08/30/2012
Last updated
09/19/2012
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