Individual
THOMAS M KINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
493 W 3RD STREET, SYLACAUGA, AL 35150
(256) 245-7696
(256) 245-6693
Mailing address
493 W 3RD STREET, SYLACAUGA, AL 35150
(256) 245-7696
(256) 245-6693
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S342TA049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059384
—
AL
01
—
3079375
BLUE CROSS
TN
01
—
51059384
BLUE CROSS
AL
Enumeration date
10/19/2006
Last updated
09/16/2011
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