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Search › Florida › 152W00000X

Nickelle Kellough, OD

NPI 1669600102 · on the registry since 2009 · sole proprietor

Practice

Address
300 S Park Rd Ste 300
Hollywood, FL 33021
Phone
(954) 925-2740
Fax
(954) 923-8379
Organisation at this address
Summit Health Plan, Inc.
Eye Surgery Associates Llc
Vista Insurance Plan, Inc.
Eye Surgery Associates Llc
Vista Healthplan Of South Florida, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-02

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 Florida