NPI 1346542925
Kelly Marie Kornely
Practice location
- Address
- 4801 Expo Dr, Manitowoc, WI 54220-9341
- Phone
- (920) 684-4429
- Fax
- (920) 684-6892
- Mailing address
- PO Box 1900 4801 Expo Dr, Manitowoc, WI 54221-1900
Registered specialties
Optician
Primary
Registry record
- NPI
- 1346542925
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Dec 2010
- Record last updated
- 2 Dec 2010
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.