Individual
DR. CAROL LEE KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12265 ORACLE BLVD, SUITE 120, COLORADO SPRINGS, CO 80921-3764
(719) 487-1511
(719) 487-9480
Mailing address
12265 ORACLE BLVD, SUITE 120, COLORADO SPRINGS, CO 80921-3764
(719) 487-1511
(719) 487-9480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632
LICENSE
CO
Enumeration date
08/22/2005
Last updated
03/07/2023
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