Individual
DR. KELLY ELIZABETH MORGESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, MPH
Contact information
Practice address
5757 HARPER DR NE, ALBUQUERQUE, NM 87109-3566
(505) 888-5757
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 615-4964
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0716
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34630058
—
NM
Enumeration date
05/31/2019
Last updated
06/22/2021
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