Keirsey, Kenneth J

Keirsey, Kenneth J is an individual health care provider with primary practice located at 608 N Maguire St , Warrensburg MO 64093-1420. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Keirsey, Kenneth J can be contacted via phone (660) 747-7300.

Contact Information

Primary practice address
608 N Maguire St Warrensburg MO 64093-1420
Fax: (660) 747-5322
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO3061 Missouri

Profile Details

NPI number 1689638785
LBN Legal business name Keirsey, Kenneth J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 4th, 2022 - about 2 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 1689638785 NPPES
Other 18576011 BLUE CROSS BLUE SHIELD KC
MEDICAID 18576011 BLUE CROSS BLUE SHIELD KC
MEDICAID 313476715 BLUE CROSS BLUE SHIELD KC
Other 04580012 BLUE CROSS BLUE SHIELD KC

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