Individual
DR. KENT LEE BAALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
982 N TYLER RD, SUITE A, WICHITA, KS 67212-3271
(316) 722-6452
(316) 722-6001
Mailing address
982 N TYLER RD, SUITE A, WICHITA, KS 67212-3271
(316) 722-6452
(316) 722-6001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1293
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032713001
DMERC
KS
01
—
410018919
RAILROAD MEDICARE
KS
Enumeration date
09/17/2006
Last updated
07/08/2007
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