Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon John Kellum, DISPENSINGOPTICIAN

Individual provider Optician · NPI 1689411340

Brandon John Kellum, DISPENSINGOPTICIAN is an Optician in Soldotna, Alaska. Licensed in Alaska. Registered with an NPI since 2024.

Licensed in
AK
In the registry since
2024

Practice location Address checks out

230 E Marydale Ave
Soldotna, AK 99669-7648
Phone: (907) 262-3119
Fax: (907) 262-9290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 202907 (AK)

Record details

NPI number1689411340
Entity typeIndividual (Type 1)
GenderMale
Credentials DISPENSINGOPTICIAN
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address1806 Miranda Ct, Kenai, AK 99611-6658

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