Most Relevant Information
Provider Data
| NPI Number: | 1003808395 |
| Provider Name: | SHAWN M KELLY OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 2689 |
Most Important Dates
| Enumeration Date: | 08/22/2005 |
| Last Updated: | 10/28/2009 |
Provider Practice Location
2313 W PARKER RD
PLANO
TX
750237839
Practice Location Phone/Fax
| Phone: | 9726122015 |
| Fax: | 9728675454 |
Provider Mailing Location
2313 W PARKER RD
PLANO
TX
750237839
Provider Mailing Phone/Fax
| Phone: | 9726122015 |
| Fax: | 9728675454 |