Individual
DR. KENNETH ROBERT EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11369 NUCKOLS RD, GLEN ALLEN, VA 23059-5504
(804) 864-2020
(804) 377-8803
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000780
VA
Other
Enumeration date
08/08/2006
Last updated
04/12/2022
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