Individual
KENNETH R MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
215 PROGRESS RD, HANNIBAL, MO 63401-6637
(573) 248-1616
(573) 248-1963
Mailing address
215 PROGRESS RD, HANNIBAL, MO 63401-6637
(573) 248-1616
(573) 248-1963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046008326
IL
152W00000X
Optometrist
077734
IA
152W00000X
Optometrist
Primary
T02919
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013966076
—
IA
05
—
1013966076
—
IL
05
—
315344606
—
MO
Enumeration date
05/08/2006
Last updated
02/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us