Individual
KELLY ANNE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3788 S 16TH AVE, TUCSON, AZ 85713-6079
(520) 388-9741
(520) 388-9750
Mailing address
6805 S VIA DIEGO DE RIVERA, TUCSON, AZ 85757-6831
(520) 233-8595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002279
AZ
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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