Baumhover, Kelley S

Baumhover, Kelley S is an individual health care provider with primary practice located at 5901 Westown Pkwy Ste 200 , West Des Moines IA 50266-8207. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Baumhover, Kelley S can be contacted via phone (515) 225-3546.

Contact Information

Primary practice address
5901 Westown Pkwy Ste 200 West Des Moines IA 50266-8207
Phone: (515) 225-3546
Fax: (515) 224-5946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2004019595 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 02485 Iowa

Profile Details

NPI number 1104874643
LBN Legal business name Baumhover, Kelley S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 2nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104874643 NPPES
Missouri MEDICAID 319115903
Missouri Other 192152
Missouri Other 166876
Missouri MEDICAID IA19629

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