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Contact Information

MARIE C KELLY
110 GLANCY ST
STE 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

NPI # 1891965380
LBN Legal business name MARIE C KELLY
Authorized official MARIE KELLY - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2008
Last updated 12/09/2008 - About 17 years ago
Identifiers
TN License # TNOD1121
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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