Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE J KENISON, O.D.
ActiveKYLE J KENISON, O.D. is a Optometrist healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1750370730 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1750370730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2005 (20.627837188932 yrs)
- Last Updated
- Mar 15, 2017
- License
-
MT 587 (MT)
Practice Information
- Address
-
855 WEST 6TH SOUTHMOUNTAIN HOME, ID, 83647Browse ID providers · Browse ZIP 83647
- Phone
- 2085872020
- Fax
- 2085873349
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| DR. LEE JAMES CARTER | O.D. | 1891789368 |
| DR. JEFFREY EUGENE GIBBONS | OD | 1568427615 |
| DR. NATHAN CURRAN PRICE | O.D. | 1316038409 |
| DR. JONATHAN PAUL NORRIS | O.D. | 1770748873 |
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.