Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Robert Kickham, OD

Optometrist in Springfield, MO · enumerated 2007 · practices at Kevin R Kickham LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912113713

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Registry record

Entity type Individual (Type 1)

Name Kevin Robert Kickham

Credential OD

Sex Male

Practice address 1308 E Battlefield, Springfield, MO, 65804

Phone (417) 890-7599

Fax (417) 886-6484

Enumeration date May 16, 2007

Last updated in NPPES Jul 11, 2013

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License T02770 (MO) Primary

OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
P00256828	Other	MO	RAILROAD MEDICARE
315387803	Medicaid	MO	—

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kevin Kickham?

Kevin Kickham is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Kevin R Kickham LLC Optometrist · Springfield, MO NPI 1548476344

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-11.