Individual
DR. KEVIN ALLEN SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
854 RIDGEWOOD DRIVE, BEREA, KY 40403
(859) 986-7027
(859) 986-4749
Mailing address
854 RIDGEWOOD DRIVE, BEREA, KY 40403
(859) 986-7027
(859) 986-4749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1913DT
KY
152W00000X
Optometrist
OPT.6159-THER
OH
Other
Enumeration date
07/16/2012
Last updated
09/17/2020
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