Hardy, John Kiley
Hardy, John Kiley is an sole proprietor health care provider with primary practice located at 848 N Walnut Ave , New Braunfels TX 78130-5431. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hardy, John Kiley can be contacted via phone (830) 624-8870.Contact Information
Primary practice address
848 N Walnut Ave
New Braunfels TX 78130-5431
Phone: (830) 624-8870
Fax: (830) 624-8868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2090TG | Texas |
Profile Details
| NPI number | 1659365583 |
|---|---|
| LBN Legal business name | Hardy, John Kiley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Aug 28th, 2020 - about 4 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 | 1659365583 | NPPES |
| Texas | MEDICAID | 093149501 |
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