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

Kelly Rae Pettigrew, OPTICIANLICENSEFL

Individual provider Optometrist · NPI 1164917373

Kelly Rae Pettigrew, OPTICIANLICENSEFL is an Optometrist in Dulce, New Mexico. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

505 N Mundo
Dulce, NM 87528
Phone: (575) 759-3291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence DO5748 (FL)

Record details

NPI number1164917373
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTICIANLICENSEFL
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESJune 29, 2018

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