| Richard A Kjome, OD | |
|
714 3rd Ave, Antigo, WI 54409-2044 | |
| (715) 623-2180 | |
| Not Available |
| Full Name | Richard A Kjome |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 714 3rd Ave, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205992088 | NPI | - | NPPES |
| 38563700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1477-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Kjome, OD Po Box 238, Antigo, WI 54409-0238 Ph: (715) 623-2180 | Richard A Kjome, OD 714 3rd Ave, Antigo, WI 54409-2044 Ph: (715) 623-2180 |
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