Kelly, Corey Breen
Kelly, Corey Breen is an sole proprietor health care provider with primary practice located at 555 John F Kennedy Rd Suite 665, Dubuque IA 52002-5202. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelly, Corey Breen can be contacted via phone (563) 582-5198.Contact Information
Primary practice address
555 John F Kennedy Rd Suite 665
Dubuque IA 52002-5202
Phone: (563) 582-5198
Fax: (563) 582-5540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2223 | Iowa |
Profile Details
| NPI number | 1720166945 |
|---|---|
| LBN Legal business name | Kelly, Corey Breen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720166945 | NPPES |
| Iowa | Other | IA2223 | EYEMED PROVIDER NUMBER |
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