Whalio Doctors

NPI 1952407827

Kelly E Godsey, OPTICIAN

Practitioner Optician Johnson City, TN

Practice location

Address
111 Broyles St, Johnson City, TN 37601-2532
Phone
(423) 282-1932
Fax
(423) 282-8813

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence DPO174 (TN)

Registry record

NPI
1952407827
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2006
Record last updated
11 Jan 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.