Individual
DR. ELLEN KAY BRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 N BROAD ST, CARLINVILLE, IL 62626-1304
(217) 854-7611
(217) 854-8120
Mailing address
300 N BROAD ST, CARLINVILLE, IL 62626-1304
(217) 854-7611
(217) 854-8120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011451
IL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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