Individual
MRS. KIMBERLY MICHELE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 STATE HIGHWAY 206, GREENE, NY 13778-2384
(607) 656-4399
Mailing address
2529 STATE HIGHWAY 206, GREENE, NY 13778-2384
(607) 656-4399
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008341-1
NY
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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