Kelly, Matthew Spencer
Kelly, Matthew Spencer is an sole proprietor health care provider with primary practice located at 317 Clarkson Rd , Ellisville MO 63011-2271. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kelly, Matthew Spencer can be contacted via phone (636) 391-3937.Contact Information
Primary practice address
317 Clarkson Rd
Ellisville MO 63011-2271
Phone: (636) 391-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2019035034 | Missouri |
Profile Details
| NPI number | 1942847918 |
|---|---|
| LBN Legal business name | Kelly, Matthew Spencer |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2019 |
| Last updated | Dec 9th, 2019 - about 7 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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