KENNETH KISAMORE, OD

Optometrist

Active Individual
NPI: 1154364800

Practice Address

14929 SHADY GROVE RD UNIT K
Rockville, MD 20850

Phone: (301) 424-1050

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes TA0917 (MD)

Frequently Asked Questions

NPI 1154364800 is the National Provider Identifier for KENNETH KISAMORE, OD, a Optometrist provider located in Rockville, MD. This NPI was enumerated on June 13, 2006.
KENNETH KISAMORE, OD practices at 14929 SHADY GROVE RD UNIT K, Rockville, MD 20850.

Quick Facts

NPI
1154364800
Type
Individual
Enumerated
Jun 13, 2006
Last Updated
Jul 24, 2024

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