Baalman, Kent Lee
Baalman, Kent Lee is an individual health care provider with primary practice located at 982 N Tyler Rd Suite A, Wichita KS 67212-3271. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baalman, Kent Lee can be contacted via phone (316) 722-6452.Contact Information
Primary practice address
982 N Tyler Rd Suite A
Wichita KS 67212-3271
Phone: (316) 722-6452
Fax: (316) 722-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1293 | Kansas |
Profile Details
| NPI number | 1720185366 |
|---|---|
| LBN Legal business name | Baalman, Kent Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720185366 | NPPES |
| Kansas | Other | 032713001 | DMERC |
| Kansas | Other | 410018919 | DMERC |
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