Individual
JENNA MICHELLE KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2133 86TH ST, BROOKLYN, NY 11214-3205
(718) 449-1525
Mailing address
894 MEINECKE AVE, STE A, SAN LUIS OBISPO, CA 93405-1790
(805) 543-6632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008478
NY
Other
Enumeration date
06/28/2016
Last updated
09/19/2019
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