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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN ALLEN SKIDMORE, O.D.

Active Sole Proprietor

DR. KEVIN ALLEN SKIDMORE, O.D. is a Optometrist healthcare provider located in BEREA, Kentucky. NPI 1093060188 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BEREA, KY

Registration Details

NPI Number
1093060188
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2012 (14.058506170487 yrs)
Last Updated
Sep 17, 2020
Licenses
OPT.6159-THER (OH)
1913DT (KY)
Sole Proprietor
Yes

Practice Information

Address
854 RIDGEWOOD DRIVE
BEREA, KY, 40403
Browse KY providers · Browse ZIP 40403
Phone
8599867027
Fax
8599864749
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in BEREA, KY

Name Credential NPI
DR. MICHAEL ANDREW DURANT O.D. 1629029400
DR. GARY E KING OD 1336229715
DR. KRISTINA BURTON O. D. 1639320039
DR. SARAH KAITLIN KING O.D. 1447505532
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.