KIM NEELY

PUTNAM, CT
NPI1063509735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist Optician
(Licence: CT  812)
Enumeration Date2006-10-06
Last Update Date2007-07-09
Business Address
MR. KIM NEELY L.O.
5 KENNEDY DR
PUTNAM, CT 06260-1939
Phone number: 860-928-6321
Mailing Address
MR. KIM NEELY L.O.
5 KENNEDY DR
PUTNAM, CT 06260-1939
Phone number: 860-928-6321