Kelly, Corey Breen

Kelly, Corey Breen is an sole proprietor health care provider with primary practice located at 555 John F Kennedy Rd Suite 665, Dubuque IA 52002-5202. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelly, Corey Breen can be contacted via phone (563) 582-5198.

Contact Information

Primary practice address
555 John F Kennedy Rd Suite 665 Dubuque IA 52002-5202
Phone: (563) 582-5198
Fax: (563) 582-5540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2223 Iowa

Profile Details

NPI number 1720166945
LBN Legal business name Kelly, Corey Breen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720166945 NPPES
Iowa Other IA2223 EYEMED PROVIDER NUMBER

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