Carl, Kevin Kyle Edward
Carl, Kevin Kyle Edward is an individual health care provider with primary practice located at 1200 Winchester Dr , Sedalia MO 65301-2467. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carl, Kevin Kyle Edward can be contacted via phone (660) 826-2642.Contact Information
Primary practice address
1200 Winchester Dr
Sedalia MO 65301-2467
Phone: (660) 826-2642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02658 | Missouri |
Profile Details
| NPI number | 1326043787 |
|---|---|
| LBN Legal business name | Carl, Kevin Kyle Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Apr 21st, 2014 - about 12 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 | 1326043787 | NPPES |
| Missouri | MEDICAID | 312204027 |
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