Kenison, Kyle J
Kenison, Kyle J is an individual health care provider with primary practice located at 855 West 6Th South , Mountain Home ID 83647. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kenison, Kyle J can be contacted via phone (208) 587-2020.Contact Information
Primary practice address
855 West 6Th South
Mountain Home ID 83647
Phone: (208) 587-2020
Fax: (208) 587-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MT 587 | Montana |
Profile Details
| NPI number | 1750370730 |
|---|---|
| LBN Legal business name | Kenison, Kyle J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 15th, 2017 - about 8 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 | 1750370730 | NPPES |
| Idaho | MEDICAID | 1750370730 |
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