Crouch, Kevin L

Crouch, Kevin L is an individual health care provider with primary practice located at 5118 W 26Th St , Sioux Falls SD 57106-3520. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crouch, Kevin L can be contacted via phone (605) 339-1939.

Contact Information

Primary practice address
5118 W 26Th St Sioux Falls SD 57106-3520
Phone: (605) 339-1939
Fax: (605) 330-0252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 526 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 02029 Iowa

Profile Details

NPI number 1740324367
LBN Legal business name Crouch, Kevin L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1740324367 NPPES
South Dakota Other 9231588 DAKOTACARE
South Dakota Other 0004141 DAKOTACARE
South Dakota Other 1250550001 DAKOTACARE
South Dakota MEDICAID 9201502 DAKOTACARE
South Dakota Other CV12701 DAKOTACARE
South Dakota Other 5118 DAKOTACARE
South Dakota Other 30391 DAKOTACARE
South Dakota Other 5214 DAKOTACARE

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