Individual
MARIE C KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D..
Contact information
Practice address
110 GLANCY ST, SUITE 208, GOODLETTSVILLE, TN 37072
(615) 868-2877
(615) 870-5771
Mailing address
110 GLANCY STREET, SUITE 208, GOODLETTSVILLE, TN 37072
(615) 868-2877
(615) 870-5771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TNOD1121
TN
Other
Enumeration date
08/29/2006
Last updated
11/18/2014
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