Kelley D Kweon, O.D. Valid NPI
Individual provider · Optometrist · Lake Jackson, TX
- NPI
- 1366798415
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 7999TG (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-07-26
- Last updated
- 2014-07-16
Practice location
121 Highway 332 W Ste 100
Lake Jackson, TX 77566
(979) 480-9424