Kemp, Wesley Don

Kemp, Wesley Don is an sole proprietor health care provider with primary practice located at 325 S Main Ave , Bolivar MO 65613-2052. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kemp, Wesley Don can be contacted via phone (417) 777-9000.

Contact Information

Primary practice address
325 S Main Ave Bolivar MO 65613-2052
Fax: (417) 777-9003
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02963 Missouri

Profile Details

NPI number 1457344525
LBN Legal business name Kemp, Wesley Don
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Feb 19th, 2008 - about 18 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 1457344525 NPPES
Missouri MEDICAID 313115305

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