London, Kellie

London, Kellie is an individual health care provider with primary practice located at 3637 Larch Ave , South Lake Tahoe CA 96150-7481. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. London, Kellie can be contacted via phone (530) 544-3403.

Contact Information

Primary practice address
3637 Larch Ave South Lake Tahoe CA 96150-7481
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 34770 California

Profile Details

NPI number 1134710932
LBN Legal business name London, Kellie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 4 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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