Michael R Kelly
Michael R Kelly is an Optician in Vernon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.
- Licensed in
- CT
- In the registry since
- 2015
Practice location Address checks out
458 Talcottville RdVernon, CT 06066-4052
Phone: (860) 875-6156
Fax: (860) 872-3828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 000733 (CT) |
|---|
Record details
| NPI number | 1043693468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 2, 2015 |
| Last updated in NPPES | July 2, 2015 |
| Mailing address | 458 Talcottville Rd, Vernon, CT 06066-4052 |