Search › Maryland › 152W00000X
Kenneth Kisamore, OD
NPI 1154364800 · on the registry since 2006
Practice
- Address
- 14929 Shady Grove Rd Unit K
Rockville, MD 20850 - Phone
- (301) 424-1050
- Fax
- (301) 424-3184
- Organisation at this address
- Rockville Optometry, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 1841 Fountain Dr, Reston, VA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- VA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland