Blount, Kelly A
Blount, Kelly A is an individual health care provider with primary practice located at 429 S 3Rd St , Gadsden AL 35901-5210. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Blount, Kelly A can be contacted via phone (256) 547-8634.Contact Information
Primary practice address
429 S 3Rd St
Gadsden AL 35901-5210
Phone: (256) 547-8634
Fax: (254) 547-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S570TA289 | Alabama |
Profile Details
| NPI number | 1740211697 |
|---|---|
| LBN Legal business name | Blount, Kelly A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740211697 | NPPES |
| Alabama | Other | S570TA289 | STATE LICENSE |
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