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KATHLEEN D KELTZ NPI 1407038508


NPI Information

NPI: 1407038508
Provider Name: KATHLEEN D KELTZ
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
605 9TH ST
HAWARDEN, IA
ZIP 51023
Phone: (712) 551-1603
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KATHLEEN D KELTZ is an eyewear supplier in Hawarden, IA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KATHLEEN D KELTZ NPI is 1407038508. The provider is registered as an organization entity type.

The provider's business location address is:

605 9TH ST
HAWARDEN, IA
ZIP 51023-220
Phone: (712) 551-1603
Fax: (712) 551-1490

The provider's authorized official is Kathleen D Keltz .
The authorized official title is Owner and has the following contact phone number (712) 551-1603.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 12/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier01646IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T00891MEDICARE UPIN
20147090MEDICAIDIOWA
39201220MEDICAIDSOUTH DAKOTA
40136370001MEDICARE NSC
5410005330OTHERRAILROAD MEDICARE
614709MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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