Godsey, Kelly E

Godsey, Kelly E is an sole proprietor health care provider with primary practice located at 111 Broyles St , Johnson City TN 37601-2532. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Godsey, Kelly E can be contacted via phone (423) 282-1932.

Contact Information

Primary practice address
111 Broyles St Johnson City TN 37601-2532
Fax: (423) 282-8813
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DPO174 Tennessee

Profile Details

NPI number 1952407827
LBN Legal business name Godsey, Kelly E
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jan 11th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952407827 NPPES
Tennessee MEDICAID 0188636

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