Individual
DR. KELLY CHIA-LI KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 MINOR HALL, BERKELEY, CA 94720-2020
(510) 642-2020
Mailing address
200 MINOR HALL, BERKELEY, CA 94720-2020
(510) 642-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13772
CA
152WV0400X
Vision Therapy Optometrist
Primary
TUV007455
NY
Other
Enumeration date
07/08/2009
Last updated
09/02/2011
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