Bono, Kenneth A.

Bono, Kenneth A. is an sole proprietor health care provider with primary practice located at 12116 State Line Rd , Leawood KS 66209. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bono, Kenneth A. can be contacted via phone (913) 808-5830.

Contact Information

Primary practice address
12116 State Line Rd Leawood KS 66209
Fax: (913) 808-5832
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1144-3 Kansas

Profile Details

NPI number 1568466837
LBN Legal business name Bono, Kenneth A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Jan 2nd, 2015 - about 9 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 1568466837 NPPES
Kansas MEDICAID 200253510A

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