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Individual

DR. KEVIN M SNIPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613
Mailing address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1357DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100092000
KY
01
P00806470
RR MEDICARE
KY
Enumeration date
10/10/2006
Last updated
08/06/2024
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