Individual
DR. THOMAS R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5800 PEACH ST, ERIE, PA 16565-1601
(814) 864-2020
(814) 868-8534
Mailing address
1105 SAINT MARY DR, ERIE, PA 16509-2975
(814) 866-5599
(814) 866-5599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001407
PA
Other
Enumeration date
02/13/2007
Last updated
04/08/2010
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