Organization
MARIE C KELLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE C KELLY O.D. (OPTOMETRIST)
(615) 868-2877
Entity
Organization
Contact information
Practice address
110 GLANCY ST, STE 208, GOODLETTSVILLE, TN 37072
(615) 868-2877
(615) 870-5771
Mailing address
110 GLANCY ST, STE 208, GOODLETTSVILLE, TN 37072
(615) 868-2877
(615) 870-5771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TNOD1121
TN
Other
Enumeration date
03/11/2008
Last updated
12/09/2008
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