NPI 1356032353

Kyleana Kelly, LDO

Practitioner Optician Roanoke, VA

Practice location

Address: 5350 Clearbrook Village Ln, Roanoke, VA 24014-6606
Phone: (540) 204-9477
Fax: (540) 774-2128
Mailing address: 5671 Hollins Rd APT 3, Roanoke, VA 24019-5004

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1101003349 (VA)

Other Technician/Technologist providers in Virginia →

Registry record

NPI: 1356032353
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2023
Record last updated: 19 May 2023

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.