Individual
DR. MICHAEL DAVID KELLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 WILLARD AVE, EYE CLINIC, NEWINGTON, CT 06111-2631
(908) 812-4345
Mailing address
555 WILLARD AVE, EYE CLINIC, NEWINGTON, CT 06111-2631
(908) 812-4345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2965
CT
Other
Enumeration date
10/19/2015
Last updated
08/15/2022
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