Kevin Allen Livengood, O.D. Valid NPI

Individual provider · Optometrist · Jacksonville, AR

NPI

1467696518

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

2627 (AR)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-04-20

Last updated

2009-06-23