KEVIN J CHILDERS

Dr KEVIN J CHILDERS is a male medical professional, specializing in Optometry. He graduated in 1983 from Indiana University - School Of Optometry.

Contact

2202 W RANDOLPH ST
PO BOX 320
VANDALIA
IL
624711946

Tel: 6182833511

KEVIN J CHILDERS Information

Npi 1306927181
Pac Id 5799890372
Professional Enrollment Id I20120502000468
Last Name CHILDERS
First Name KEVIN
Middle Name J
Suffix
Gender M
Credential
Medical School Name INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year 1983
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2202 W RANDOLPH ST
Line 2 Street Address PO BOX 320
Marker Of Address Line 2 Suppression
City VANDALIA
State IL
Zip Code 624711946
Phone Number 6182833511
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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