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 codeDescriptionLicenseStatePrimary
156FX1101X Technician/Technologist, Ophthalmic Assistant––Yes

Practice location

833 Campbell Hill St Nw Ste 300
Marietta, GA 30060-1137

Phone 770-218-1888 · Fax 770-218-0093

Mailing address

833 Campbell Hill St Nw Ste 300
Marietta, GA 30060-1137

Phone 770-218-1888 · Fax 770-218-0093

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