Harry, Kevin A

Harry, Kevin A is an individual health care provider with primary practice located at 15300 Watertown Plank Rd , Elm Grove WI 53122-2300. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harry, Kevin A can be contacted via phone (262) 786-9630.

Contact Information

Primary practice address
15300 Watertown Plank Rd Elm Grove WI 53122-2300
Phone: (262) 786-9630
Fax: (262) 786-3972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2179 Wisconsin

Profile Details

NPI number 1821078189
LBN Legal business name Harry, Kevin A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 18th, 2021 - about 5 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 1821078189 NPPES
Wisconsin MEDICAID 38575400

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