Kelly Shannon, O.D

NPI 1760937510 · on the registry since 2016

Practice

Address: 1597 Sw 53rd St
Corvallis, OR 97333
Phone: (541) 757-8844
Fax: (541) 754-9810
Organisation at this address: All Family Vision Llc
Optometric Care Of Oregon
Michael D Klautzsch, Od, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-22

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 Oregon