Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEROY TAYLOR KINCANNON III, O.D.
ActiveDR. LEROY TAYLOR KINCANNON III, O.D. is a Optometrist healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1528173846 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1528173846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (20.021129657485 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2466 (MN)
Practice Information
- Address
-
1542 GOLF COURSE RDSUITE 201GRAND RAPIDS, MN, 557449603Browse MN providers · Browse ZIP 55744
- Phone
- 2183263433
- Fax
- 2183263435
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DARWIN DALEN | O.D. | 1417954553 |
| DR. RICHARD A PERROTT | O.D. | 1700968336 |
| PAUL LEE DUBBELS | O.D. | 1235339953 |
| LARRY JAMES SCHLAUDERAFF | O.D. | 1477748085 |
| HEIDI DAHLBERG | OD | 1124289160 |
| MR. MICHAEL C. YOUNG | OD | 1932434016 |
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.