Sanders, Kelly Alice
Sanders, Kelly Alice is an individual health care provider with primary practice located at 518 E Green St Illini Eyecare Express, Champaign IL 61820. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sanders, Kelly Alice can be contacted via phone (217) 351-6110.Contact Information
Primary practice address
518 E Green St Illini Eyecare Express
Champaign IL 61820
Phone: (217) 351-6110
Fax: (217) 351-6395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Illinois |
Profile Details
| NPI number | 1619013117 |
|---|---|
| LBN Legal business name | Sanders, Kelly Alice |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| 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.
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