Mrs. Kelly Christine Trussell
Optometrist
119 Library Hill Ln
Lexington
, South Carolina 29072-3893
Mrs. Kelly Christine Trussell
Optometrist
119 Library Hill Ln
Lexington
, South Carolina 29072-3893
(317) 753-6443
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Mrs. Kelly Christine Trussell
- 1619 Catawba Street
- Columbia, SC
- Zip : 29205
- Phone : (317) 753-6443
Second Address
- Mrs. Kelly Christine Trussell
- 119 Library Hill Ln
- Lexington, SC
- Zip : 29072-3893
- Phone : (803) 359-2110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 18003922A | IN |
| Y | 152W00000X | Optometrist | 2035 | SC |
National Provider Identifier
| NPI | 1003291089 |
|---|---|
| Provider Name | Mrs. Kelly Christine Trussell |
| First Address | Columbia, SC 29205 |
| Second Address | Lexington, SC 29072-3893 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2015 |
| Last Update Date | 07/02/2022 |
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.