| NPI | 1598040354 |
|---|---|
| Former Name | KELLY LAINE HONSINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002997) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R-256-TA-B08) |
| 152W00000X Optometrist (Licence: MS 842) | |
| 152W00000X Optometrist (Licence: FL OPC004662) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2021-08-12 |