Henne, Kevin L

Henne, Kevin L is an sole proprietor health care provider with primary practice located at 410 E Central Ave , Winter Haven FL 33880-3050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henne, Kevin L can be contacted via phone (863) 293-0276.

Contact Information

Primary practice address
410 E Central Ave Winter Haven FL 33880-3050
Phone: (863) 293-0276
Fax: (863) 299-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X FL1655 Florida

Profile Details

NPI number 1407847585
LBN Legal business name Henne, Kevin L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Apr 24th, 2009 - about 15 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 1407847585 NPPES
Other 41000187 RAILROAD MEDICARE
MEDICAID 0782670 RAILROAD MEDICARE

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