IndividualActive
Colleen Kelley, BCO
NPI 1023870128 · Ocularist · Philadelphia, PA
Provider details
- NPI number
- 1023870128
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- BCO
- Sex
- Female
- Sole proprietor
- No
- License
- 18390
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1528 Walnut St Ste 1801
Philadelphia, PA 19102-3612
Phone: (215) 643-5556
Fax: (215) 540-4566
Approximate (ZIP-level) locationGet directions
Mailing address
1528 Walnut St Ste 1801
Philadelphia, PA 19102-3612
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.