Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY WILSE, LDO
Active Sole ProprietorMS. KELLY WILSE, LDO is a Optician, Dispensing healthcare provider located in PALM COAST, Florida. NPI 1508647959 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PALM COAST, FL
Registration Details
- NPI Number
- 1508647959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2023 (2.8247698218348 yrs)
- Last Updated
- Oct 11, 2023
- License
-
6632 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
174 CYPRESS POINT PKWYPALM COAST, FL, 321647438Browse FL providers · Browse ZIP 32164
- Phone
- 3864468510
- Fax
- 3864468512
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JADE JACKSON | L.D.O | 1679630842 |
| MR. JEREMY JACKSON | — | 1518568971 |
| EMILIA SPENCER | — | 1144914706 |
| MRS. MARY BAKER POHL | DO | 1447033535 |
| CAROLANNE MCWILLIAMS | LDO | 1285506550 |
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.