Individual
KELLI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1529 380 BYP, GRAHAM, TX 76450-2323
(940) 549-1621
Mailing address
907 BRAZOS ST, GRAHAM, TX 76450-3905
(940) 521-8552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1683DT
KY
152W00000X
Optometrist
Primary
8043T
TX
Other
Enumeration date
08/21/2006
Last updated
09/17/2012
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