Yeager, Kenneth Anthony

Yeager, Kenneth Anthony is an individual health care provider with primary practice located at 2304 W Parker Rd , Greenville SC 29617-2123. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Yeager, Kenneth Anthony can be contacted via phone (864) 246-0964.

Contact Information

Primary practice address
2304 W Parker Rd Greenville SC 29617-2123
Phone: (864) 246-0964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1027 South Carolina

Profile Details

NPI number 1568412344
LBN Legal business name Yeager, Kenneth Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 15th, 2020 - about 6 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 1568412344 NPPES
South Carolina MEDICAID D10272

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