NPI 1689411340
Brandon John Kellum, DISPENSINGOPTICIAN
Practice location
- Address
- 230 E Marydale Ave, Soldotna, AK 99669-7648
- Phone
- (907) 262-3119
- Fax
- (907) 262-9290
- Mailing address
- 1806 Miranda CT, Kenai, AK 99611-6658
Registered specialties
Optician
Primary
Registry record
- NPI
- 1689411340
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jul 2024
- Record last updated
- 10 Jul 2024
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.