Kennel, Melinda Kathryn
Kennel, Melinda Kathryn is an individual health care provider with primary practice located at 1130 S 13Th St Ste 200 , Norfolk NE 68701-5733. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kennel, Melinda Kathryn can be contacted via phone (402) 379-1434.Contact Information
Primary practice address
1130 S 13Th St Ste 200
Norfolk NE 68701-5733
Phone: (402) 379-1434
Fax: (402) 374-9154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1728 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1190 | Nebraska |
Profile Details
| NPI number | 1013908656 |
|---|---|
| LBN Legal business name | Kennel, Melinda Kathryn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 26th, 2021 - about 3 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 | 1013908656 | NPPES |
| Kansas | Other | 651110 | BCBS |
| Kansas | Other | NA1061002 | BCBS |
| Kansas | MEDICAID | 200383330A | BCBS |
| Kansas | Other | 651109 | BCBS |
| Kansas | MEDICAID | 200383330B | BCBS |
| Kansas | Other | 36700 | BCBS |
| Kansas | MEDICAID | SSN00 | BCBS |
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