Kinkade, Brian Keith
Kinkade, Brian Keith is an sole proprietor health care provider with primary practice located at 806 Laurel St , Creston IA 50801-3554. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kinkade, Brian Keith can be contacted via phone (641) 782-5455.Contact Information
Primary practice address
806 Laurel St
Creston IA 50801-3554
Phone: (641) 782-5455
Fax: (641) 782-5590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2264 | Iowa |
Profile Details
| NPI number | 1437257680 |
|---|---|
| LBN Legal business name | Kinkade, Brian Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1437257680 | NPPES |
| Iowa | MEDICAID | 1297374 | |
| Iowa | Other | 39206 |
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