National Provider Identifier
Ardis Kelley
Ardis Kelley is listed in the NPPES registry with a primary specialty of Optician in Lakeville, NY and a listed phone number of (585) 346-2400.
Profile Overview
- NPI
- 1427555812
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- April 11, 2018
- Last Updated
- April 11, 2018
Practice Location
- 6003 Big Tree RD
- Lakeville, NY 14480-9753
Phone: (585) 346-2400
Mailing Address
- 2469 State Route 19 N
- Warsaw, NY 14569-9336
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1427555812
- Entity Type
- Individual
- Last Name
- Kelley
- First Name
- Ardis
- Mailing Street Address
- 2469 State Route 19 N
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-9336
- Mailing Country
- US
- Mailing Phone
- (585) 786-8505
- Mailing Fax
- (585) 786-8490
- Practice Street Address
- 6003 Big Tree RD
- Practice City
- Lakeville
- Practice State
- NY
- Practice ZIP Code
- 14480-9753
- Practice Country
- US
- Practice Phone
- (585) 346-2400
- Practice Fax
- (585) 346-2413
- Enumeration Date
- April 11, 2018
- Last Updated
- April 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)