# RANDOLPH CLAY KINKADE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881745032
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 935 | CT | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 11/22/2013