Kelly L Bulow
Optometrist
559 Progress St Ste E
West Branch
, Michigan 48661-9399
Kelly L Bulow
Optometrist
559 Progress St Ste E
West Branch
, Michigan 48661-9399
(893) 457-4849
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Kelly L Bulow
- 559 Progress St Ste E
- West Branch, MI
- Zip : 48661-9399
- Fax : (893) 457-4849
- Phone : (989) 345-8113
Second Address
- Kelly L Bulow
- 559 Progress St Ste E
- West Branch, MI
- Zip : 48661-9399
- Fax : (893) 457-4849
- Phone : (989) 345-8113
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003860 | MI |
National Provider Identifier
| NPI | 1003829177 |
|---|---|
| Provider Name | Kelly L Bulow |
| First Address | West Branch, MI 48661-9399 |
| Second Address | West Branch, MI 48661-9399 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 05/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 944529185 | (05) | MI |
| V68933 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.