Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY J GARDEA
Active Sole ProprietorKELLY J GARDEA is a Optician, Dispensing healthcare provider located in ALAMOSA, Colorado. NPI 1043004278 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ALAMOSA, CO
Registration Details
- NPI Number
- 1043004278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2025 (1.3810390972936 yrs)
- Last Updated
- Apr 4, 2025
- License
-
264269 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3333 CLARK STALAMOSA, CO, 811012050Browse CO providers · Browse ZIP 81101
- Phone
- 7195873803
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ALAMOSA, CO
| Name | Credential | NPI |
|---|---|---|
| JEANETTE MICHELE RUYBAL | ABO | 1659128478 |
| SHANESE JARAMILLO | — | 1568258952 |
| SONNI XAVIA HUNT | ABO | 1710857644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.