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Kelli Bruce, OD

Optometrist in Newport, KY. Individual provider (NPI-1).

NPI number1457039737
StatusActive
Last updated in NPPESJul 7, 2023

Details

NPI
1457039737
Entity type
Individual (NPI-1)
Name
Kelli Bruce
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2023
Certification date
Jun 30, 2023
Last updated
Jul 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2347DTKYYes

Practice location

59 Carothers Rd
Newport, KY 41071-2415

Phone 859-491-1010

Mailing address

59 Carothers Rd
Newport, KY 41071-2415

Phone 859-491-1010

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