Individual
KELLY CHICHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARKER LN, PERRY, NY 14530-9703
(585) 237-2064
(585) 237-2073
Mailing address
2469 STATE ROUTE 19 N, WARSAW, NY 14569-9336
(585) 786-8505
(585) 786-8490
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008707-1
NY
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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