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

NICHOLAS J KELSEY

Active Organization

NICHOLAS J KELSEY is a Optometrist organization located in BUHL, Idaho. NPI 1700163839 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BUHL, ID

Registration Details

NPI Number
1700163839
Provider Type
Organization
NPI Issued
Nov 3, 2011 (14.792629869967 yrs)
Last Updated
Nov 3, 2011
Licenses
ODP-100146 (ID)
ODP-100146 (ID)
ODP-100146 (ID)

Practice Information

Address
503 BROADWAY AVE S
SUITE A
BUHL, ID, 833161312
Browse ID providers · Browse ZIP 83316
Phone
2089449008
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.