Individual
DR. KELLY JO MAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1475 UPPER VALLEY PIKE, SPRINGFIELD, OH 45504-4047
(937) 525-9266
(937) 525-9633
Mailing address
2203 STRINGTOWN RD, GROVE CITY, OH 43123-2928
(937) 525-9266
(937) 525-9633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6145
OH
Other
Enumeration date
07/17/2012
Last updated
10/07/2019
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