Individual
DR. MICHAEL KELLY GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
920 E 56TH ST STE D3, KEARNEY, NE 68847-8628
(308) 455-1283
(308) 455-1285
Mailing address
1104 E 56TH ST UNIT 4, KEARNEY, NE 68847-8615
(402) 661-9033
(308) 455-1285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1325
NE
Other
Enumeration date
07/01/2009
Last updated
04/16/2012
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