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Individual

DR. JAIME LARSEN KENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1028 RIDGE RD STE 104, EMPIRE VISION CENTERS, WEBSTER, NY 14580-2973
(585) 872-2200
(585) 288-8998
Mailing address
1028 RIDGE RD, STE 104, WEBSTER, NY 14580-2975
(315) 445-7465
(315) 445-7675

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006551
NY

Other

Enumeration date
06/01/2006
Last updated
02/06/2018
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