NPI 1174019962

Jordan M Chilla, OD

Practitioner Optometrist Kennett Square, PA

Practice location

Address: 402 Bayard Rd STE 200, Kennett Square, PA 19348-1862
Phone: (484) 770-8132

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OEG003411 (PA)

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Registry record

NPI: 1174019962
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2018
Record last updated: 16 Mar 2020

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.