Organization
KEELAYBOY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HAVEL OD (MANAGER/OWNER)
(720) 507-6280
Entity
Organization
Contact information
Practice address
2031 S FEDERAL BLVD, DENVER, CO 80219-5429
(303) 934-0942
Mailing address
21912 E CANYON PL, AURORA, CO 80016-7215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0003106
CO
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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