THEODORE KELLY

PENSACOLA, FL
NPI1225018427
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy152W00000X Optometrist
(Licence: PA  007184P)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
THEODORE KELLY OD
1972 DUNLAP ST
PENSACOLA, FL 32507-1400
Phone number: 850-452-5242
Mailing Address
THEODORE KELLY OD
1972 DUNLAP ST
PENSACOLA, FL 32507-1400
Phone number: 850-452-5242