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Organization

DR DONALD B KELLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD B KELLY O.D. (OWNER)
(757) 466-1574
Entity
Organization

Contact information

Practice address
880 N MILITARY HWY, 1087, NORFOLK, VA 23502-3716
(757) 466-1574
(757) 466-2993
Mailing address
880 N MILITARY HWY, 1087, NORFOLK, VA 23502-3716
(757) 466-1574
(757) 466-2993

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000499
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009230424
VA
Enumeration date
02/25/2009
Last updated
02/25/2009
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