NPI 1184709636

Russell King Heltsley, OD

Practitioner Optometrist Bowling Green, KY

Practice location

Address: 2425 Scottsville Rd Suite #114, Bowling Green, KY 42104-4457
Phone: (270) 846-2500
Fax: (270) 846-0608

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1216 DT (KY)

Other Optometrist providers in Kentucky →

Registry record

NPI: 1184709636
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 11 Apr 2008

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.