Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R KELLY
ActiveMICHAEL R KELLY is a Optician, Dispensing healthcare provider located in VERNON, Connecticut. NPI 1043693468 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · VERNON, CT
Registration Details
- NPI Number
- 1043693468
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2015 (11.158615927744 yrs)
- Last Updated
- Jul 2, 2015
- License
-
000733 (CT)
Practice Information
- Address
-
458 TALCOTTVILLE RDVERNON, CT, 060664052Browse CT providers · Browse ZIP 06066
- Phone
- 8608756156
- Fax
- 8608723828
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.