Cline, Kevin B.

Cline, Kevin B. is an sole proprietor health care provider with primary practice located at 12111 W Maple St , Wichita KS 67235-8755. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Cline, Kevin B. can be contacted via phone (316) 942-7496.

Contact Information

Primary practice address
12111 W Maple St Wichita KS 67235-8755
Phone: (316) 942-7496
Fax: (316) 239-2557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1295 Kansas
Eye and Vision Services Providers / Pediatrics 152WP0200X 1295 Kansas
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1295 Kansas

Profile Details

NPI number 1740393107
LBN Legal business name Cline, Kevin B.
Credentials O.D.,FCOVD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated May 31st, 2018 - about 7 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 1740393107 NPPES
Kansas MEDICAID 100218790C

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