Brandon Kellum, DISPENSING OPTICIAN
NPI 1689411340 · on the registry since 2024
Practice
- Address
- 230 E Marydale Ave
Soldotna, AK 99669 - Phone
- (907) 262-3119
- Fax
- (907) 262-9290
- Organisation at this address
- Peninsula Community Health Services Of Alaska, Inc.
Peninsula Community Health Services Of Alaska, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-10
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 Alaska