Individual
KEVIN M SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, CP, COA
Contact information
Practice address
11237 FAIROAKS RD NE STE B, BOLIVAR, OH 44612-8767
(330) 595-1010
(330) 595-1051
Mailing address
11736 STRASBURG BOLIVAR RD NW APT 1, BOLIVAR, OH 44612-8471
(330) 904-9156
(330) 595-1051
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
LP.00116
OH
225000000X
Orthotic Fitter
COA00304
—
Other
Enumeration date
01/29/2019
Last updated
02/16/2026
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