Individual
MR. KELLEY JAY LOUTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9028 ATLANTA GARLINGHOUSE RD, NAPLES, NY 14512-9249
(585) 534-5879
Mailing address
9028 ATLANTA GARLINGHOUSE RD, NAPLES, NY 14512-9249
(585) 534-5879
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
1939407
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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