Individual
KENNETH A. BONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12116 STATE LINE RD, LEAWOOD, KS 66209
(913) 808-5830
(913) 808-5832
Mailing address
12116 STATE LINE RD, LEAWOOD, KS 66209
(913) 808-5830
(913) 808-5832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1144-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253510A
—
KS
Enumeration date
06/02/2005
Last updated
01/02/2015
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