John Kelley, BCO

Individual Deactivated
NPI 1942374731
Ocularist Towson, MD

NPI 1942374731 belongs to John Kelley, BCO, an ocularist with a practice location in Towson, MD. The NPI was issued on November 20, 2006, and the record was last updated in NPPES on August 24, 2026. The record lists 2 taxonomy codes. This NPI was deactivated on October 9, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Ocularist Primary 156FX1700X Not listed
Other Specialist/Technologist 246Z00000X Not listed

Practice location

1107 Kenilworth Dr
Suite 310
Towson, MD 21204-2140
Phone: (410) 828-5628

Record history

Name on record
Mr. John J Kelley Jr.
Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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