Individual
MRS. KELLY MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
199 COLUMBUS RD, ATHENS, OH 45701-1315
(740) 593-3191
(740) 594-2525
Mailing address
PO BOX 668, ATHENS, OH 45701-0668
(740) 593-3191
(740) 594-2525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5884
OH
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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