National Provider Identifier

Kelly A McKenley, OPTICIAN

Kelly A McKenley, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 276-8410.

NPI 1891282737Rochester, NYOptician

Profile Overview

NPI
1891282737
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
April 17, 2018
Last Updated
April 17, 2018

Practice Location

  • 1701 Lac De Ville Blvd
  • Rochester, NY 14618-5630

Phone: (585) 276-8410

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1891282737
Entity Type
Individual
Last Name
McKenley
First Name
Kelly
Middle Name
A
Credential
OPTICIAN
Mailing Street Address
1701 Lac De Ville Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5630
Mailing Country
US
Mailing Phone
(585) 276-8410
Practice Street Address
1701 Lac De Ville Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5630
Practice Country
US
Practice Phone
(585) 276-8410
Enumeration Date
April 17, 2018
Last Updated
April 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)