Dr. Kelly Jo Dalton, O.D.
Optometrist in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1932365137
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1932365137
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Jo Dalton
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2008
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG002107 | PA | Yes |
Practice location
675 Baltimore DriveWilkes Barre, PA 18702
Phone 570-808-5441 · Fax 570-808-5371
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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