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General NPI Number Information
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NPI Number | 1427311950
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Entity Type | Individual
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Provider Name | KELLEE E. ADAMS O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 1537 J ST
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City | BEDFORD
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State | IN
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Zip | 47421-3839
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Country | US
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Telephone | 812-675-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 BOSTON POST RD SUITE 2063
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City | MILFORD
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State | CT
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Zip | 06460-2703
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Country | US
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Telephone | 203-878-6574
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002856
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18004082A
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License Number State | IN
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