Mueller, Kenneth R
Mueller, Kenneth R is an individual health care provider with primary practice located at 215 Progress Rd , Hannibal MO 63401-6637. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mueller, Kenneth R can be contacted via phone (573) 248-1616.Contact Information
Primary practice address
215 Progress Rd
Hannibal MO 63401-6637
Phone: (573) 248-1616
Fax: (573) 248-1963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008326 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 077734 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02919 | Missouri |
Profile Details
| NPI number | 1013966076 |
|---|---|
| LBN Legal business name | Mueller, Kenneth R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 21st, 2018 - 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 | 1013966076 | NPPES |
| Missouri | MEDICAID | 315344606 | |
| Missouri | MEDICAID | 1013966076 | |
| Missouri | MEDICAID | 1013966076 |
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