KERRY A OKELBERRY O D P C; NPI #1639264427

Contact Information

KERRY A OKELBERRY O D P C

6705 REDWOOD RD
WEST JORDAN, UT 84084-2402

Phone: 801-268-0866
Fax: 801-268-2092
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KERRY A OKELBERRY O D P C

NPI # 1639264427

LBN Legal business name KERRY A OKELBERRY O D P C

Authorized official KERRY OKELBERRY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2006

Last updated 02/05/2014 - About 12 years ago

Identifiers

UT	License #	1125139934
UT	Medicaid	528904440008
UT	Other	DR3610	RETIRED RAILROAD MEDICARE

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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KERRY A OKELBERRY O D P C

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KERRY A OKELBERRY O D P C

Reviews for KERRY A OKELBERRY O D P C