Individual
KELLY KRISTINE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9912 W LINEBAUGH AVE, TAMPA, FL 33626-1858
(813) 792-0637
(813) 792-0657
Mailing address
9912 W LINEBAUGH AVE, TAMPA, FL 33626-1858
(813) 792-0637
(813) 792-0657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001346
DE
152W00000X
Optometrist
Primary
OPC4980
FL
152W00000X
Optometrist
OPT002557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639403058
INDIVIDUAL NPI
DE
Enumeration date
10/01/2009
Last updated
10/16/2025
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