Individual
RANDOLPH CLAY KINKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
63 WEST ST, LITCHFIELD, CT 06759-3502
(860) 567-3133
Mailing address
63 WEST ST, LITCHFIELD, CT 06759-3502
(860) 567-3133
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
935
CT
Other
Enumeration date
01/15/2007
Last updated
11/22/2013
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