Kelly, Dawn Aileen

Kelly, Dawn Aileen is an sole proprietor health care provider with primary practice located at 12033 Agency Rd , Parker AZ 85344-7718. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelly, Dawn Aileen can be contacted via phone (928) 669-3289.

Contact Information

Primary practice address
12033 Agency Rd Parker AZ 85344-7718
Phone: (928) 669-3289
Fax: (928) 669-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2130 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 453/ T2453 New Mexico

Profile Details

NPI number 1033216718
LBN Legal business name Kelly, Dawn Aileen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 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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