NPI 1720185366 · live from the CMS NPI Registry
Kent Lee Baalman, O.D.
Optometrist in Wichita, KS. National Provider Identifier 1720185366, active.
NPI record
| NPI | 1720185366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 982 N Tyler Rd, Suite A, Wichita, KS 67212 |
| Practice phone | 316-722-6452 |
| Enumerated | September 17, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1293 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.