Norwood R. Kelly Jr., O.D.
Optometrist in Harvey, LA. Individual provider (NPI-1).
NPI number1396838314
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1396838314
- Entity type
- Individual (NPI-1)
- Name
- Norwood R. Kelly Jr.
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 939165T | LA | Yes |
| 152W00000X | Optometrist | 2316DT | KY | |
| 152W00000X | Optometrist | DA2924 | MD | |
| 152W00000X | Optometrist | 1395 | SC | |
| 152W00000X | Optometrist | I5-0000002 | DE | |
| 152W00000X | Optometrist | OET009163 | PA |
Practice location
2010 Woodmere BlvdSuite H
Harvey, LA 70058-2286
Phone 504-371-8044 · Fax 504-371-8042
Mailing address
242 Sarah Victoria DrBelle Chasse, LA 70037-4146
Phone 504-452-0390 · Fax 504-656-7158
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