DR. KEVIN ELLSWORTH, O.D.
Optometrist
Active
Individual
NPI: 1669457024
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 112376-9934 (UT) |
Frequently Asked Questions
NPI 1669457024 is the National Provider Identifier for DR. KEVIN ELLSWORTH, O.D., a Optometrist provider located in Logan, UT. This NPI was enumerated on December 8, 2005.
DR. KEVIN ELLSWORTH, O.D. practices at 395 E 1400 N, SUITE B, Logan, UT 84341.
Quick Facts
- NPI
- 1669457024
- Type
- Individual
- Enumerated
- Dec 8, 2005
- Last Updated
- Aug 20, 2008
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