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Organization
RICHARD P KEVILLE OD & ASSOCIATES PA
Active
Organization
RICHARD P KEVILLE OD & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P. KEVILLE O.D. (PRESIDENT)
(941) 756-4108
Entity
Organization
Contact information
Practice address
2911 53RD AVE E, BRADENTON, FL 34203-4312
(941) 758-5960
Mailing address
2901 50TH PL E, BRADENTON, FL 34203-3824
(941) 756-4108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24537
SPECTERA BRADENTON
FL
01
—
26816
MEDICAL EYE SERVICES
FL
01
—
45306
SPECTERA PALMETTO
FL
01
—
47866
DAVIS BRADENTON
FL
01
—
53759
DAVIS PALMETTO
FL
Enumeration date
05/16/2007
Last updated
09/09/2008
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