Provider Demographics
NPI:1770537250
Name:CARRIER, KELLY D (OD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:D
Last Name:CARRIER
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:7200 DAN HOEY RD STE G
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-4201
Mailing Address - Country:US
Mailing Address - Phone:734-424-0097
Mailing Address - Fax:734-580-2009
Practice Address - Street 1:7200 DAN HOEY RD STE G
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-4201
Practice Address - Country:US
Practice Address - Phone:734-424-0097
Practice Address - Fax:734-850-2009
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4901003966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist