Organization
KELLY'S PARK-HILL OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K KELLY (OWNER)
(719) 471-7347
Entity
Organization
Contact information
Practice address
423 N CIRCLE DR, COLORADO SPRINGS, CO 80909-6246
(719) 471-7347
(719) 471-7340
Mailing address
423 N CIRCLE DR, COLORADO SPRINGS, CO 80909-6246
(719) 471-7347
(719) 471-7340
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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