Individual
DR. KEVIN T CORCORAN
Active
Individual
DR. KEVIN T CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0023663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108798
ANTHEM
OH
01
—
00000021016
BCBS
—
05
—
0772810
—
OH
05
—
200023660
—
IN
01
—
410030914
RAILROAD MEDICARE
OH
05
—
77540185
—
KY
Enumeration date
04/27/2006
Last updated
01/26/2016
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