Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON JOHN KELLUM, DISPENSING OPTICIAN
ActiveBRANDON JOHN KELLUM, DISPENSING OPTICIAN is a Optician, Dispensing healthcare provider located in SOLDOTNA, Alaska. NPI 1689411340 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SOLDOTNA, AK
Registration Details
- NPI Number
- 1689411340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2024 (2.1048960424939 yrs)
- Last Updated
- Jul 10, 2024
- License
-
202907 (AK)
Practice Information
- Address
-
230 E MARYDALE AVESOLDOTNA, AK, 996697648Browse AK providers · Browse ZIP 99669
- Phone
- 9072623119
- Fax
- 9072629290
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in SOLDOTNA, AK
| Name | Credential | NPI |
|---|---|---|
| MR. MARTIN B. HANSON | — | 1215178629 |
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.