Mr. Kim Neely, LO
Mr. Kim Neely, LO is an Optician in Putnam, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2006
Practice location Address checks out
5 Kennedy DrPutnam, CT 06260-1939
Phone: (860) 928-6321
Fax: (860) 928-2239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 812 (CT) |
|---|
Record details
| NPI number | 1063509735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LO |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2006 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 5 Kennedy Dr, Putnam, CT 06260-1939 |
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