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
Phone: (530) 544-3403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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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