Kenneth Kisamore OD

  • NPI 1154364800
According to our database, the NPI number for Kenneth Kisamore OD is 1154364800 and activated since 17 years ago. Kenneth Kisamore OD is an individual provider who specializes in Optometrist, and the primary practice location is 14929 Shady Grove Rd Unit K, Rockville, MD 20850. You can also contact Kenneth Kisamore OD via telephone number is (301) 424-1050. Provider NPI information was last updated on 01/30/2018.

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Overview of Kenneth Kisamore OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/13/2006
  • Last updated: 01/30/2018

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 0618001710
  • License State: VA

Provider Mailing Address

  • Address: 1950 Old Gallows Rd Ste 520
    Vienna, VA 22182
  • Phone: 703-847-8899
  • Fax: 866-795-4020

Provider Practice Location

  • Address: 14929 Shady Grove Rd Unit K
    Rockville, MD 20850
  • Phone: 301-424-1050
  • Fax: 301-424-3184

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 0618001710
  • License State: VA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Kisamore OD?
  • A: The npi number for Kenneth Kisamore OD is 1154364800.
  • Q: What are Kenneth Kisamore OD's specialties?
  • A: Kenneth Kisamore OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Kenneth Kisamore OD?
  • A: The medical license number for Kenneth Kisamore OD is 0618001710 and issued in VA in USA.
  • Q: Where is Kenneth Kisamore OD practice location?
  • A: Kenneth Kisamore OD is practicing at 14929 Shady Grove Rd Unit K, Rockville, MD 20850.
  • Q: How to contact Kenneth Kisamore OD?
  • A: You can contact Kenneth Kisamore OD via 301-424-1050.