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Dr.Norwood R. Kelly Jr.Apoc

Optometrist in Harvey, LA. Organization (NPI-2).

NPI number1265607675
StatusActive
Last updated in NPPESFeb 14, 2011

Details

NPI
1265607675
Entity type
Organization (NPI-2)
Legal business name
Dr.Norwood R. Kelly Jr.Apoc
Organization subpart
No
Enumeration date
Apr 25, 2008
Last updated
Feb 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist939-165TLAYes

Practice location

2010 Woodmere Blvd
Suite H
Harvey, LA 70058-2286

Phone 504-452-0390

Mailing address

242 Sarah Victoria Dr
Belle Chasse, LA 70037-4146

Phone 504-452-0390

Authorized official

Norwood R Kelly
President
5044520390

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