person
Mr. Kelly E Godsey II, OPTICIAN
Optician in Johnson City, Tennessee
NPI 1952407827

Kelly E Godsey II is a Optician based in Johnson City, TN and is specialized in Optician. Kelly E Godsey II practices in Johnson City, TN and has the professional credentials of OPTICIAN. The NPI Number for Kelly E Godsey II is 1952407827 and holds a License No. DPO174 (Tennessee).

The current practice location address for Kelly E Godsey II is 111 Broyles St, Johnson City, TN and can be reached out via phone at 423-282-1932 and via fax at 423-282-8813.

Location: 111 Broyles St, Johnson City, TN, 37601-2532
person
Provider Profile Details
NPI Number
1952407827
Provider Name
Kelly E Godsey II
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
111 Broyles St, Johnson City, TN, 37601-2532
Phone Number
423-282-1932
Fax Number
423-282-8813
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0188636 05 TN
institution
Provider Business Practice Location Address Details
Address
111 Broyles St
City
State
Zip
37601-2532
Phone Number
423-282-1932
Fax Number
423-282-8813
person
Provider Business Mailing Address Details
Address
111 Broyles St
City
State
Zip
37601-2532
Phone Number
423-282-1932
Fax Number
423-282-8813
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DPO174 (Tennessee)
Definition
Definition to come...
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