Bray, Rhonda Keen
Bray, Rhonda Keen is an individual health care provider with primary practice located at 1639 Westpark Dr , Bowling Green KY 42104-4712. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bray, Rhonda Keen can be contacted via phone (270) 796-6021.Contact Information
Primary practice address
1639 Westpark Dr
Bowling Green KY 42104-4712
Phone: (270) 796-6021
Fax: (270) 796-6072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1371DT | Kentucky |
Profile Details
| NPI number | 1285623512 |
|---|---|
| LBN Legal business name | Bray, Rhonda Keen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 7th, 2022 - about 4 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 | 1285623512 | NPPES |
| Kentucky | MEDICAID | 77013712 |
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