Individual
KELLY LYNN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769
Mailing address
3316 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3011
(336) 765-5350
(336) 765-0769
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1723
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093E7
—
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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