NPI 1184675092 · live from the CMS NPI Registry
Marcus H Kelley, OD
Optometrist in Helena, MT. National Provider Identifier 1184675092, active.
NPI record
| NPI | 1184675092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 550 N Montana Ave, Helena, MT 59601 |
| Practice phone | 406-443-2121 |
| Enumerated | May 15, 2006 |
| Last updated | January 24, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | temporary (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.