Kingsley, William Robert

Kingsley, William Robert is an individual health care provider with primary practice located at 1300 9Th Ave Se , Watertown SD 57201-5387. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kingsley, William Robert can be contacted via phone (605) 886-2038.

Contact Information

Primary practice address
1300 9Th Ave Se Watertown SD 57201-5387
Phone: (605) 886-2038
Fax: (605) 886-2038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1144398405
LBN Legal business name Kingsley, William Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144398405 NPPES
South Dakota MEDICAID 9287310

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