Ammel, Kathleen Viola
Ammel, Kathleen Viola is an sole proprietor health care provider with primary practice located at 2101 S Princeton St Suite #100, Ottawa KS 66067-4007. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ammel, Kathleen Viola can be contacted via phone (785) 242-7300.Contact Information
Primary practice address
2101 S Princeton St Suite #100
Ottawa KS 66067-4007
Phone: (785) 242-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002796B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1729 | Kansas |
Profile Details
| NPI number | 1528027372 |
|---|---|
| LBN Legal business name | Ammel, Kathleen Viola |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Oct 3rd, 2022 - about 2 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 | 1528027372 | NPPES |
| Other | 11357975 | CAQH | |
| MEDICAID | 200320070 | CAQH | |
| MEDICAID | 200400380A | CAQH |
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