Sedlock, Kelley Elizabeth

Sedlock, Kelley Elizabeth is an individual health care provider with primary practice located at 9701 Ventnor Ave Ste 201 , Margate City NJ 08402-2222. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sedlock, Kelley Elizabeth can be contacted via phone (609) 822-4242.

Contact Information

Primary practice address
9701 Ventnor Ave Ste 201 Margate City NJ 08402-2222
Phone: (609) 822-4242
Fax: (609) 822-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00717500 New Jersey

Profile Details

NPI number 1740832500
LBN Legal business name Sedlock, Kelley Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2019
Last updated Dec 27th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740832500 NPPES
Indiana MEDICAID 300050052
Indiana MEDICAID 7100656280

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