Norland, Kelly
Norland, Kelly is an individual health care provider with primary practice located at 2312 23Rd St , Spirit Lake IA 51360-1044. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Norland, Kelly can be contacted via phone (712) 336-1960.Contact Information
Primary practice address
2312 23Rd St
Spirit Lake IA 51360-1044
Phone: (712) 336-1960
Fax: (712) 336-5428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01903 | Iowa |
Profile Details
| NPI number | 1598781759 |
|---|---|
| LBN Legal business name | Norland, Kelly |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1598781759 | NPPES |
| Iowa | MEDICAID | 0286104 | |
| Iowa | Other | 28610 |
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