Reid, Kelly Lynn

Reid, Kelly Lynn is an individual health care provider with primary practice located at 3316 Silas Creek Pkwy , Winston Salem NC 27103-3011. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Reid, Kelly Lynn can be contacted via phone (336) 765-5350.

Contact Information

Primary practice address
3316 Silas Creek Pkwy Winston Salem NC 27103-3011
Phone: (336) 765-5350
Fax: (336) 765-0769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1723 North Carolina

Profile Details

NPI number 1861415424
LBN Legal business name Reid, Kelly Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 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 1861415424 NPPES
North Carolina MEDICAID 89093E7

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