Individual
KELLE AYERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
236 ROSEBERRY ST, PHILLIPSBURG, NJ 08865
(908) 859-4311
(908) 859-4499
Mailing address
236 ROSEBERRY ST, PHILLIPSBURG, NJ 08865
(908) 859-4311
(908) 859-4499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00511500
NJ
152W00000X
Optometrist
Primary
27T000048100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02K0440
HEALTHNET
—
01
—
2163713
AETNA
—
01
—
761842
HIGHMARK
—
Enumeration date
06/16/2006
Last updated
07/08/2007
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