Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH CLAY KINKADE, O.D.
Active Sole ProprietorRANDOLPH CLAY KINKADE, O.D. is a Low Vision Rehabilitation Optometrist healthcare provider located in LITCHFIELD, Connecticut. NPI 1881745032 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · LITCHFIELD, CT
Registration Details
- NPI Number
- 1881745032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.553777799249 yrs)
- Last Updated
- Nov 22, 2013
- License
-
935 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
63 WEST STLITCHFIELD, CT, 067593502Browse CT providers · Browse ZIP 06759
- Phone
- 8605673133
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
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.