Kelly Moore Valid NPI
Individual provider · Optician · Bradenton, FL
- NPI
- 1992581193
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- DO5600 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
Practice location
2911 53rd Ave E
Bradenton, FL 34203-4312
(941) 752-0802