CARL KELLY IV, O.D.
Optometrist
Active
Individual
NPI: 1942290523
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 1343-477T (LA) |
Frequently Asked Questions
NPI 1942290523 is the National Provider Identifier for CARL KELLY IV, O.D., a Optometrist provider located in Shreveport, LA. This NPI was enumerated on October 25, 2005.
CARL KELLY IV, O.D. practices at 2611 GREENWOOD RD, Shreveport, LA 71103.
Quick Facts
- NPI
- 1942290523
- Type
- Individual
- Enumerated
- Oct 25, 2005
- Last Updated
- Jul 8, 2007
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