NPI 1063509735

Kim Neely, LO

Practitioner Optician Putnam, CT

Practice location

Address: 5 Kennedy Dr, Putnam, CT 06260-1939
Phone: (860) 928-6321
Fax: (860) 928-2239

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 812 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1063509735
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.