Kent H Kienlen P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WY-198T Issued in WY

Legal business name

KENT H KIENLEN P.C.

Practice address

401 S Bent St Ste B
Powell, WY 82435-2837

Phone

(307) 754-7254

Fax

(307) 754-5937

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kent H Kienlen, O.D.NPI 1063506582

Title

President

Phone

(307) 754-7254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent H Kienlen, O.D.

  • Optometrist
  • Powell, WY
  • NPI 1063506582
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1225346455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE B",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-7254",
            "fax_number": "307-754-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE B",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-7254",
            "fax_number": "307-754-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT H KIENLEN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "KIENLEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-754-7254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "WY-198T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raena Kary
• Stephen R Katz, CRNA
• Jana Keeler, PA-C
• Kelly Irene Kellett
• Leslie Catherine Kenney, LAT, ATC
• Mary Khan, D.C.
• Rahim Khan, D.C.
• Callie C Kidd
• Kent H Kienlen, O.D.
• Jill Elaine King, MCSD

• Optometrist in Powell, WY
• Providers in Powell, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.