Provider Demographics
NPI:1215448238
Name:DOERING, KELSEY ANN (OD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ANN
Last Name:DOERING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:35 ERIE ST N STE 110
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-8451
Mailing Address - Country:US
Mailing Address - Phone:330-880-0035
Mailing Address - Fax:330-880-0034
Practice Address - Street 1:35 ERIE ST N STE 110
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-8451
Practice Address - Country:US
Practice Address - Phone:330-880-0035
Practice Address - Fax:330-880-0034
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6611152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist