Bechtold, Kyle Robert

Bechtold, Kyle Robert is an individual health care provider with primary practice located at 2720 S 4Th St , Leavenworth KS 66048-4571. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bechtold, Kyle Robert can be contacted via phone (913) 651-3344.

Contact Information

Primary practice address
2720 S 4Th St Leavenworth KS 66048-4571
Phone: (913) 651-3344
Fax: (913) 651-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1734 Kansas

Profile Details

NPI number 1609880517
LBN Legal business name Bechtold, Kyle Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 24th, 2010 - about 16 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 1609880517 NPPES
Kansas MEDICAID 200389060A
Kansas Other 651208
Kansas MEDICAID 200389060D
Kansas Other 651115
Kansas Other 39001011

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