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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KIM NEELY, L.O.

Active Sole Proprietor

MR. KIM NEELY, L.O. is a Optician, Dispensing healthcare provider located in PUTNAM, Connecticut. NPI 1063509735 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · PUTNAM, CT

Registration Details

NPI Number
1063509735
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.873787738183 yrs)
Last Updated
Jul 9, 2007
License
812 (CT)
Sole Proprietor
Yes

Practice Information

Address
5 KENNEDY DR
PUTNAM, CT, 062601939
Browse CT providers · Browse ZIP 06260
Phone
8609286321
Fax
8609282239
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in PUTNAM, CT

Name Credential NPI
BENJAMIN SALOIS L.O. 1386185239
MR. RYAN G WEAVER LO, ABOC, NCLEC 1255856845
HOLLY J GUDEAHN LO 1003321985
PATRICIA TURBERT L.O 1235940990
LIDA ALVARADO LO 1659269892
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.