Organization
KELLI MCCARTNEY O.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI MARIE MCCARTNEY O.D. (PRESIDENT)
(304) 444-5573
Entity
Organization
Contact information
Practice address
1476 LAWRENCE ST, FAIRMONT, WV 26554-2355
(304) 444-5573
Mailing address
1476 LAWRENCE ST, FAIRMONT, WV 26554-2355
(304) 444-5573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1077-OD
WV
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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