Individual
KELLY FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3104 INDIANA AVE, LUBBOCK, TX 79410-3148
(806) 793-1927
(806) 791-4077
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7872T
TX
Other
Enumeration date
07/21/2011
Last updated
08/21/2024
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