Kueker, Ryan Jennings

Kueker, Ryan Jennings is an sole proprietor health care provider with primary practice located at 631 Lincoln St , Wamego KS 66547-1635. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kueker, Ryan Jennings can be contacted via phone (785) 456-2236.

Contact Information

Primary practice address
631 Lincoln St Wamego KS 66547-1635
Fax: (785) 456-2570
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1718 Kansas

Profile Details

NPI number 1154423242
LBN Legal business name Kueker, Ryan Jennings
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Nov 24th, 2008 - about 16 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 1154423242 NPPES
Kansas MEDICAID 200357750A

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