Percal, Kaylea J.

Percal, Kaylea J. is an individual health care provider with primary practice located at 519 State St , New Albany IN 47150-3620. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Percal, Kaylea J. can be contacted via phone (812) 948-0616.

Contact Information

Primary practice address
519 State St New Albany IN 47150-3620
Phone: (812) 948-0616
Fax: (812) 949-3447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003971A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 2039DT Kentucky

Profile Details

NPI number 1174975643
LBN Legal business name Percal, Kaylea J.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Jul 21st, 2022 - about 2 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 1174975643 NPPES
Indiana MEDICAID 300004360
Indiana MEDICAID 7100488270

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