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

DR. KELLY JOHN CORBRIDGE, O.D.

Active Sole Proprietor

DR. KELLY JOHN CORBRIDGE, O.D. is a Optometrist healthcare provider located in KINGMAN, Arizona. NPI 1902098007 is currently active in the NPPES registry. Verify at CMS.

Optometrist · KINGMAN, AZ

Registration Details

NPI Number
1902098007
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2007 (18.985118353911 yrs)
Last Updated
May 12, 2008
License
829 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2187 AIRWAY AVE.
KINGMAN, AZ, 864093669
Browse AZ providers · Browse ZIP 86409
Phone
9287575005
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in KINGMAN, AZ

Name Credential NPI
DR. SCOTT DAVID MULLANE OD 1447232590
DR. MARIE-THERE YVONNE BROCA O.D. 1265552046
JEFFREY PARKE BERGESON O.D. 1861691586
RYAN WIDDISON O.D. 1639552169
RICHARD BULLEN OD 1811565252
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.