Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Robert Kickham, OD

Individual provider Optometrist · NPI 1912113713

Kevin Robert Kickham, OD is an Optometrist in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1308 E Battlefield
Springfield, MO 65804
Phone: (417) 890-7599
Fax: (417) 886-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02770 (MO)

Record details

NPI number1912113713
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 11, 2013
Mailing address1308 E Battlefield, Springfield, MO 65804

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