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Individual

DR. JOSEPH DANIEL KELLY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
110 GLANCY ST STE 208, GOODLETTSVILLE, TN 37072-2313
(615) 868-2877
(615) 870-5771
Mailing address
110 GLANCY ST STE 208, GOODLETTSVILLE, TN 37072-2313
(615) 868-2877
(615) 870-5771

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3305
TN

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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