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Michael Kelly
NPI 1043693468 · on the registry since 2015
Practice
- Address
- 458 Talcottville Rd
Vernon, CT 06066 - Phone
- (860) 875-6156
- Fax
- (860) 872-3828
- Organisation at this address
- Eyeball Optical Inc
Kelly Family Eyecare, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut