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NPI Code Detail

MEDICARE: DR. SONIA KELLEY OD, MS

MEDICARE: DR. SONIA KELLEY OD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist005216OH

General Provider Information

NPI Number : 1679415715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONIA KELLEY OD, MS
Provider Business Mailing Address
First Line : 13555 N STEMMONS FWY
Second Line :
City : DALLAS
State : TX
Zip : 75234-5765
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13555 N STEMMONS FWY
Second Line :
City : DALLAS
State : TX
Zip : 75234-5765
Country : US
Telephone Number : 214-496-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ DR. SONIA KELLEY OD, MS” Practice Location

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