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Kevin R Kickham LLC

NPI 1548476344ActiveOrganization· Optometrist· Springfield, MO

Optometrist in Springfield, Missouri, registered in NPPES in May 2007. The authorized official on file is Kevin Robert Kickham, OD, Optometrist Owner.

Overview

NPI1548476344
StatusActive
Entity typeOrganization
NPI issuedMay 16, 2007
Last updated in NPPESFeb 5, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XT02770MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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