Individual
DR. KELSEY JORDAN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009499
NY
152W00000X
Optometrist
1058
NH
152W00000X
Optometrist
13429536-9934
UT
152W00000X
Optometrist
5539
MA
152W00000X
Optometrist
I5-0000005
DE
152W00000X
Optometrist
ODP-100623
ID
152W00000X
Optometrist
OPT-002579
AZ
152W00000X
Optometrist
OPT.0003933
CO
152W00000X
Optometrist
TA2920
MD
152W00000X
Optometrist
TPOP102
FL
Other
Enumeration date
11/29/2021
Last updated
07/24/2023
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