Individual provider · NPI-1
Amber Kelley, COA
Technician/Technologist, Ophthalmic Assistant · Marietta, GA
NPI number1982481016
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1982481016
- Entity type
- Individual (NPI-1)
- Name
- Amber Kelley
- Credential
- COA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1101X | Technician/Technologist, Ophthalmic Assistant | – | – | Yes |
Practice location
833 Campbell Hill St Nw Ste 300Marietta, GA 30060-1137
Phone 770-218-1888 · Fax 770-218-0093
Mailing address
833 Campbell Hill St Nw Ste 300Marietta, GA 30060-1137
Phone 770-218-1888 · Fax 770-218-0093
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