Kincannon, Leroy Taylor
Kincannon, Leroy Taylor is an individual health care provider with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744-9603. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kincannon, Leroy Taylor can be contacted via phone (218) 326-3433.Contact Information
Primary practice address
1542 Golf Course Rd Suite 201
Grand Rapids MN 55744-9603
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2466 | Minnesota |
Profile Details
| NPI number | 1528173846 |
|---|---|
| LBN Legal business name | Kincannon, Leroy Taylor |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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