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Contact Information

MARIE C KELLY, O.D..
110 GLANCY ST
SUITE 208
GOODLETTSVILLE, TN37072
 Phone: 615-868-2877
 Fax: 615-870-5771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARIE C KELLY · (Female)

NPI # 1770692238
Status Active
Credentials O.D..
Entity Individual
Enumeration date 08/29/2006
Last updated 11/18/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # TNOD1121
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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