Organization
KP EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY P PHAN OD (OPTOMETRIST)
(512) 251-8282
Entity
Organization
Contact information
Practice address
1819 WHITE INDIGO TRL, ROUND ROCK, TX 78665-2818
(512) 251-8282
(512) 990-3691
Mailing address
18700 LIMESTONE COMMERCIAL DR, PFLUGERVILLE, TX 78660-6544
(512) 251-8282
(512) 990-3691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7380T
TX
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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