Individual
MR. JAMES A RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
150 WALTON AVE, BOWLING GREEN, KY 42104
(270) 781-1923
(270) 843-8664
Mailing address
150 WALTON AVE, BOWLING GREEN, KY 42104
(270) 781-1923
(270) 843-8664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1462DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000248
—
KY
Enumeration date
12/27/2006
Last updated
07/08/2007
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