Organization
KEITH A. HUELSMAN OD INC
Active
Organization
KEITH A. HUELSMAN OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALLEN HUELSMAN OD (DOCTOR)
(937) 901-4902
Entity
Organization
Contact information
Practice address
4301 STATE ROUTE 725, BELLBROOK, OH 45305-1552
(937) 848-3393
Mailing address
4301 STATE ROUTE 725, BELLBROOK, OH 45305-1552
(937) 848-3393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114040
EYEMED
—
01
—
17615
ANTHEM
—
01
—
304246
ANTHEM
—
Enumeration date
09/06/2007
Last updated
03/25/2008
Update your record
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