| NPI | 1912980566 |
|---|---|
| Doing Business As | THE KELLUM EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA J KIEFER Office Manager 985-872-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 022479) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1412-554T) |
| 207W00000X Ophthalmology (Licence: LA 011081) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-02-08 |