Kennel, Melinda Kathryn

Kennel, Melinda Kathryn is an individual health care provider with primary practice located at 1130 S 13Th St Ste 200 , Norfolk NE 68701-5733. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kennel, Melinda Kathryn can be contacted via phone (402) 379-1434.

Contact Information

Primary practice address
1130 S 13Th St Ste 200 Norfolk NE 68701-5733
Phone: (402) 379-1434
Fax: (402) 374-9154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1728 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 1190 Nebraska

Profile Details

NPI number 1013908656
LBN Legal business name Kennel, Melinda Kathryn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 26th, 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 1013908656 NPPES
Kansas Other 651110 BCBS
Kansas Other NA1061002 BCBS
Kansas MEDICAID 200383330A BCBS
Kansas Other 651109 BCBS
Kansas MEDICAID 200383330B BCBS
Kansas Other 36700 BCBS
Kansas MEDICAID SSN00 BCBS

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