Kelly, Brendan S
Kelly, Brendan S is an individual health care provider with primary practice located at 1717 University Dr S , Fargo ND 58103-4939. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kelly, Brendan S can be contacted via phone (701) 461-5100.Contact Information
Primary practice address
1717 University Dr S
Fargo ND 58103-4939
Phone: (701) 461-5100
Fax: (701) 461-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2604 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 666 | North Dakota |
Profile Details
| NPI number | 1689873275 |
|---|---|
| LBN Legal business name | Kelly, Brendan S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Apr 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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