Individual
KELLY A MCKENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1701 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5630
(585) 276-8410
Mailing address
1701 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5630
(585) 276-8410
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006383-1
NY
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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