Okelberry, Kerry Allen

Okelberry, Kerry Allen is an individual health care provider with primary practice located at 6705 Redwood Rd , West Jordan UT 84084-2402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Okelberry, Kerry Allen can be contacted via phone (801) 268-0866.

Contact Information

Primary practice address
6705 Redwood Rd West Jordan UT 84084-2402
Phone: (801) 268-0866
Fax: (801) 268-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 112-513-9934 Utah

Profile Details

NPI number 1013928118
LBN Legal business name Okelberry, Kerry Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 31st, 2014 - about 12 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 1013928118 NPPES
Utah Other DR 3610 RETIRED RAILROAD MEDICARE
Utah Other 41008204 RETIRED RAILROAD MEDICARE

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