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IndividualActive

Kelly Rae Pettigrew

OPTICIAN LICENSE FL

Optometrist

NPI: 1164917373Dulce, New Mexico, 87528(575) 759-3291Female

About Kelly Rae Pettigrew

Kelly Rae Pettigrew, OPTICIAN LICENSE FL, is a female healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1164917373. Their primary practice is located at 505 NORTH MUNDO, Dulce, New Mexico 87528.

Patients can reach the office at (575) 759-3291. Kelly Rae Pettigrew has been NPI-registered since 2018.

Doctor Details

Identity & Credentials

NPI Number
1164917373
Entity Type
Individual
First Name
Kelly
Last Name
Pettigrew
Credential
OPTICIAN LICENSE FL
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
505 NORTH MUNDO
City
Dulce
State
New Mexico
ZIP
87528
Country
United States
Phone
(575) 759-3291

Specialty & Taxonomy

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 187
City
DULCE
State
NM
ZIP
875280187

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kelly Rae Pettigrew's NPI number?
Kelly Rae Pettigrew's National Provider Identifier (NPI) is 1164917373. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kelly Rae Pettigrew specialize in?
Kelly Rae Pettigrew specializes in Optometrist.
Where is Kelly Rae Pettigrew located?
Kelly Rae Pettigrew practices at 505 NORTH MUNDO, Dulce, New Mexico 87528. You can reach them by phone at (575) 759-3291.
Does Kelly Rae Pettigrew accept Medicare?
Based on available data, Kelly Rae Pettigrew is not currently enrolled in the Medicare program.
Does Kelly Rae Pettigrew offer telehealth or virtual visits?
Kelly Rae Pettigrew does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kelly Rae Pettigrew is 1164917373.