KELLY PETTIGREW, OPTICIAN LICENSE FL
Optometrist
Active
Individual
NPI: 1164917373
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | DO5748 (FL) |
Frequently Asked Questions
NPI 1164917373 is the National Provider Identifier for KELLY PETTIGREW, OPTICIAN LICENSE FL, a Optometrist provider located in Dulce, NM. This NPI was enumerated on June 29, 2018.
KELLY PETTIGREW, OPTICIAN LICENSE FL practices at 505 NORTH MUNDO, Dulce, NM 87528.
Quick Facts
- NPI
- 1164917373
- Type
- Individual
- Enumerated
- Jun 29, 2018
- Last Updated
- Jun 29, 2018
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