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

MS. Kelly Wilse, LDO

Individual provider Optician · NPI 1508647959

MS. Kelly Wilse, LDO is an Optician in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

174 Cypress Point Pkwy
Palm Coast, FL 32164-7438
Phone: (386) 446-8510
Fax: (386) 446-8512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 6632 (FL)

Record details

NPI number1508647959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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