Kevin R Kickham Llc in Springfield - Optometrist
Kevin R Kickham Llc - NPI 1548476344
Kevin R Kickham Llc is a Optometrist in Springfield, Missouri. Kevin R Kickham Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin R Kickham Llc is 1548476344. The last update date is 2016-02-05.
Kevin R Kickham Llc's current location address is 1308 E Battlefield St, Springfield, Missouri. You can contact this provider via phone number 4178907599 and fax number 4178866484. The mailing address for Kevin R Kickham Llc is 1308 E Battlefield St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin R Kickham Llc |
|---|---|
| Address | 1308 E Battlefield St, Springfield, Missouri |
| Phone Number | 4178907599 |
| Fax Number | 4178866484 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Kickham Robert Kevin |
| Credentials | OD |
| Telephone Number | 4178907599 |
NPI Number Detail
| NPI Number | 1548476344 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2016-02-05 |
Provider Mailing Address Detail
| Address | 1308 E Battlefield St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658043604 |
| Phone Number | 4178907599 |
| Fax Number | 4178866484 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T02770 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 315387803 | MO | -- | |
| P00256828 | MO | RAILROAD MEDICARE | |
| 14298 | MO | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin R Kickham Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin R Kickham Llc has been assigned the NPI (National Provider Identifier) 1548476344. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kevin R Kickham Llc is physically located?
The Kevin R Kickham Llc is situated at the following address: 1308 E Battlefield St, Springfield, MO 658043604.
What is Kevin R Kickham Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin R Kickham Llc is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548476344 to Kevin R Kickham Llc?
The Kevin R Kickham Llc received its 1548476344 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details related to Kevin R Kickham Llc most recently updated or revised?
The information pertaining to Kevin R Kickham Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-05.