Kenneth Kisamore, OD

NPI #1154364800 in Rockville, Maryland

Provider Information

NPI Number: 1154364800
Entity Type: Individual
Name: Kenneth Kisamore, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 13, 2006
Last Updated: Jul 24, 2024

Practice Location

Address: 14929 SHADY GROVE RD UNIT K
City: Rockville
State: Maryland
ZIP Code: 20850-7728
Phone: (301) 424-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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