Mueller, Kenneth R

Mueller, Kenneth R is an individual health care provider with primary practice located at 215 Progress Rd , Hannibal MO 63401-6637. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mueller, Kenneth R can be contacted via phone (573) 248-1616.

Contact Information

Primary practice address
215 Progress Rd Hannibal MO 63401-6637
Fax: (573) 248-1963
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008326 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 077734 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X T02919 Missouri

Profile Details

NPI number 1013966076
LBN Legal business name Mueller, Kenneth R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 21st, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013966076 NPPES
Missouri MEDICAID 315344606
Missouri MEDICAID 1013966076
Missouri MEDICAID 1013966076

Popular Providers