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Contact Information

KENNETH A BONO, OD
12116 STATE LINE RD
LEAWOOD, KS66209
 Phone: 913-808-5830
 Fax: 913-808-5832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KENNETH A BONO · (Male)

NPI Number 1568466837
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/02/2005
Last updated 01/02/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 1144-3
  • KS Medicaid 200253510A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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