Kisamore, Kenneth
Kisamore, Kenneth is an individual health care provider with primary practice located at 14929 Shady Grove Rd Unit K , Rockville MD 20850-7728. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kisamore, Kenneth can be contacted via phone (301) 424-1050.Contact Information
Primary practice address
14929 Shady Grove Rd Unit K
Rockville MD 20850-7728
Phone: (301) 424-1050
Fax: (301) 424-3184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001710 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA0917 | Maryland |
Profile Details
| NPI number | 1154364800 |
|---|---|
| LBN Legal business name | Kisamore, Kenneth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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