Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RAE PETTIGREW, OPTICIAN LICENSE FL
ActiveKELLY RAE PETTIGREW, OPTICIAN LICENSE FL is a Optometrist healthcare provider located in DULCE, New Mexico. NPI 1164917373 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DULCE, NM
Registration Details
- NPI Number
- 1164917373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2018 (7.9418243239821 yrs)
- Last Updated
- Jun 29, 2018
- License
-
DO5748 (FL)
Practice Information
- Address
-
505 NORTH MUNDODULCE, NM, 87528Browse NM providers · Browse ZIP 87528
- Phone
- 5757593291
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DULCE, NM
| Name | Credential | NPI |
|---|---|---|
| MARICELA BONILLA | O.D. | 1265460851 |
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.