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Individual

MR. KEVIN B AYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3700 W CLEARWATER AVE, KENNEWICK, WA 99336-2636
(509) 735-1312
(509) 736-6403
Mailing address
3700 W CLEARWATER AVE, KENNEWICK, WA 99336-2636
(509) 735-1312
(509) 736-6403

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1690
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146425100000
PREMERA BLUE CROSS
WA
05
2004356
WA
01
481279263AA
UNIFORM MEDICAL
WA
01
5239650001
DMERC REGION D
WA
01
DB9688
PALMETTO GBA RAILROAD MEDICARE
WA
Enumeration date
03/14/2006
Last updated
03/18/2016
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