Individual
DR. KYLE ROBERT BECHTOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2720 S 4TH ST, LEAVENWORTH, KS 66048-4571
(913) 651-3344
(913) 651-1029
Mailing address
2800 SW WANAMAKER RD, SUITE 192, TOPEKA, KS 66614-4293
(785) 272-0707
(785) 271-1512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1734
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200389060A
—
KS
05
—
200389060D
—
KS
01
—
39001011
BCBS OF KANSAS CITY
—
01
—
651115
BCBS
—
01
—
651208
BCBS
KS
Enumeration date
07/28/2006
Last updated
06/24/2010
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