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Individual

DR. KEVIN LEE CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
206 W MAIN ST, PLAIN CITY, OH 43064-4122
(614) 873-1003
(614) 866-2024
Mailing address
925 GRAY DR, PICKERINGTON, OH 43147-9357
(614) 254-9851
(614) 866-2024

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5199
OH
152W00000X
Optometrist
T2103
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5199
OPTOMETRY LICENSE
OH
01
T2109
TPA
OH
Enumeration date
10/10/2006
Last updated
04/29/2024
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