Individual
DR. KELLY SMILEY BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
813 PARIS RD, SUITE B, MAYFIELD, KY 42066-2742
(270) 247-5532
(270) 247-0258
Mailing address
813 PARIS RD, SUITE B, MAYFIELD, KY 42066-2742
(270) 247-5532
(270) 247-0245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1864DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100170490
—
KY
Enumeration date
07/15/2011
Last updated
11/18/2014
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