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Kelly Hathaway
Optician in Bowling Green, Ohio
NPI 1861191470

Kelly Hathaway is a Optician based in Bowling Green, OH and is specialized in Optician. Kelly Hathaway practices in Bowling Green, OH. The NPI Number for Kelly Hathaway is 1861191470 and holds a License No. OP.017337-S (Ohio).

The current practice location address for Kelly Hathaway is 131 W Gypsy Lane Rd, Bowling Green, OH and can be reached out via phone at 419-352-6505.

Location: 131 W Gypsy Lane Rd, Bowling Green, OH, 43402-4503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861191470
Provider Name
Kelly Hathaway
Credential
Provider Entity Type
Individual
Gender
Female
Address
131 W Gypsy Lane Rd, Bowling Green, OH, 43402-4503
Phone Number
419-352-6505
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
131 W Gypsy Lane Rd
City
Bowling Green
State
Ohio
Zip
43402-4503
Phone Number
419-352-6505
Fax Number
person
Provider Business Mailing Address Details
Address
131 W Gypsy Lane Rd
City
Bowling Green
State
Ohio
Zip
43402-4503
Phone Number
419-352-6505
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.017337-S (Ohio)
Definition
Definition to come...
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