Search › Illinois › 152W00000X
Kellie Gladys, OD
NPI 1194454173 · on the registry since 2022 · sole proprietor
Practice
- Address
- 207 Hamilton Road
Bloomington, IL 61704 - Phone
- (309) 827-4090
Additional practice sites
- 1540 Spring Valley Drive, Huntington, WV
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois