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Individual

KELLY JOY SOULTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1250 NW 128TH ST STE 150, CLIVE, IA 50325-7433
(515) 223-9595
(515) 223-9795
Mailing address
1250 NW 128TH ST STE 150, CLIVE, IA 50325-7433
(515) 223-9595
(515) 223-9795

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA02283
IA

Other

Enumeration date
01/20/2006
Last updated
09/15/2023
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