Dr. Keely Annmarie Brouhard, OD
Optometrist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1023794591
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1023794591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keely Annmarie Brouhard
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18004408A | IN | Yes |
Practice location
10777 E Washington St Ste AIndianapolis, IN 46229-2642
Phone 317-897-0480
Mailing address
2477 S Woolery Mill DrBloomington, IN 47403-3266
Phone 937-631-5700
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