DR. Kevin Allen Skidmore, O.D.

NPI #1093060188 in Berea, Kentucky

Provider Information

NPI Number: 1093060188
Entity Type: Individual
Name: DR. Kevin Allen Skidmore, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 16, 2012
Last Updated: Sep 17, 2020

Practice Location

Address: 854 RIDGEWOOD DRIVE
City: Berea
State: Kentucky
ZIP Code: 40403
Phone: (859) 986-7027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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