Individual
KAYLEA J. PERCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
519 STATE ST, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447
Mailing address
519 STATE ST, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003971A
IN
152W00000X
Optometrist
2039DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004360
—
IN
05
—
7100488270
—
KY
Enumeration date
07/08/2016
Last updated
07/21/2022
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