Wilson, Kamrian Sue

Wilson, Kamrian Sue is an individual health care provider with primary practice located at 690 Missouri Ave. Suite 22, St. Robert MO 65584. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Wilson, Kamrian Sue can be contacted via phone (573) 336-4670.

Contact Information

Primary practice address
690 Missouri Ave. Suite 22 St. Robert MO 65584
Phone: (573) 336-4670
Fax: (573) 336-5968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO3060 Missouri
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TO3060 Missouri

Profile Details

NPI number 1699702175
LBN Legal business name Wilson, Kamrian Sue
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 27th, 2014 - about 10 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 1699702175 NPPES
Missouri MEDICAID 313540411
Missouri MEDICAID 313540411MO

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