Individual
KERRY ALLISON PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
238 BROOKLEY AVE SW, BOLLING AFB, DC 20032-7704
(202) 404-6146
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(703) 681-5254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7115 TG
TX
152W00000X
Optometrist
7115TG
TX
Other
Enumeration date
03/08/2007
Last updated
10/01/2024
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