Kim E Neely is a Eyewear Supplier based in Putnam, CT. Kim E Neely practices in Putnam, CT. The NPI Number for Kim E Neely is 1992982912 and holds a License No. 000812 (Connecticut).
The current practice location address for Kim E Neely is 5 Kennedy Dr, Putnam, CT and can be reached out via phone at 860-928-6321.
Location: 5 Kennedy Dr, Putnam, CT, 06260-1939
Provider Profile Details
NPI Number
1992982912
Provider Name
Kim E Neely
Credential
Provider Entity Type
Organization
Address
5 Kennedy Dr, Putnam, CT, 06260-1939
Phone Number
860-928-6321
Fax Number
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004167492 | 05 | CT |
Provider Business Practice Location Address Details
Address
5 Kennedy Dr
City
State
Zip
06260-1939
Phone Number
860-928-6321
Fax Number
Provider Business Mailing Address Details
Address
5 Kennedy Dr
City
State
Zip
06260-1939
Phone Number
860-928-6321
Fax Number
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
000812 (Connecticut)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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