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Individual

DR. KEVIN WILLIAM CLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2300 BUFFALO RD, BLDG 700, ROCHESTER, NY 14624-1367
(585) 328-0153
(585) 328-0158
Mailing address
2300 BUFFALO RD, BLDG 700, ROCHESTER, NY 14624-1367
(585) 328-0153
(585) 328-0158

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007652-1
NY

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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