Jennings, Kevin T

Jennings, Kevin T is an individual health care provider with primary practice located at 2743 Mt Pleasant St , Burlington IA 52601-2137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jennings, Kevin T can be contacted via phone (319) 754-2020.

Contact Information

Primary practice address
2743 Mt Pleasant St Burlington IA 52601-2137
Phone: (319) 754-2020
Fax: (319) 754-2299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X IA1897 Iowa

Profile Details

NPI number 1801874714
LBN Legal business name Jennings, Kevin T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Apr 3rd, 2012 - about 12 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 1801874714 NPPES
Iowa MEDICAID 1058602
Iowa Other 410012433

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