Mr. Kim Neely
Optician
5 Kennedy Dr
Putnam
, Connecticut 06260-1939
(860) 928-2239
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Mr. Kim Neely
- 5 Kennedy Dr
- Putnam, CT
- Zip : 06260-1939
- Fax : (860) 928-2239
- Phone : (860) 928-6321
Second Address
- Mr. Kim Neely
- 5 Kennedy Dr
- Putnam, CT
- Zip : 06260-1939
- Fax : (860) 928-2239
- Phone : (860) 928-6321
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 812 | CT |
National Provider Identifier
| NPI | 1063509735 |
|---|---|
| Provider Name | Mr. Kim Neely |
| First Address | Putnam, CT 06260-1939 |
| Second Address | Putnam, CT 06260-1939 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 09/07/2007 |
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.