Organization
KELLI MCCARTNEY O.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI MCCARTNEY O.D. (PRESIDENT)
(304) 842-5544
Entity
Organization
Contact information
Practice address
2580 MEADOWBROOK MALL, BRIDGEPORT, WV 26330-9792
(304) 842-5544
Mailing address
1476 LAWRENCE ST, FAIRMONT, WV 26554-2355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1077OD
WV
Other
Enumeration date
06/08/2012
Last updated
06/15/2012
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