Kyle Gwinner Od Llc

LBN: Kyle Gwinner Od Llc
Kyle Gwinner Od Llc is an health care organization with primary practice located at 801 E 3Rd St , Ellsworth KS 67439-0339. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kyle Gwinner Od Llc can be contacted via phone (785) 472-3272, or through Gwinner, G. Kyle via phone (785) 472-3272.

Contact Information

Primary practice address
801 E 3Rd St Ellsworth KS 67439-0339
Phone: (785) 472-3272
Fax: (785) 472-3360
Website:
Map and Directions
Authorized official contact:
Name: Gwinner, G. Kyle Doctor of Optometry (OD)
Phone: (785) 472-3272

Health care specialties

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

Profile Details

NPI number 1609918523
LBN Legal business name Kyle Gwinner Od Llc
DBA Doing business as
Authorized official Gwinner, G. Kyle Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Sep 4th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609918523 NPPES
Kansas MEDICAID 100090550D

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