Reid, Kelly Lynn
Reid, Kelly Lynn is an individual health care provider with primary practice located at 3316 Silas Creek Pkwy , Winston Salem NC 27103-3011. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Reid, Kelly Lynn can be contacted via phone (336) 765-5350.Contact Information
Primary practice address
3316 Silas Creek Pkwy
Winston Salem NC 27103-3011
Phone: (336) 765-5350
Fax: (336) 765-0769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1723 | North Carolina |
Profile Details
NPI number | 1861415424 |
---|---|
LBN Legal business name | Reid, Kelly Lynn |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 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 | 1861415424 | NPPES |
North Carolina | MEDICAID | 89093E7 |
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