Provider Demographics
NPI:1063726941
Name:HONEYMAN, KINSEY RACHEL (OD)
Entity type:Individual
Prefix:DR
First Name:KINSEY
Middle Name:RACHEL
Last Name:HONEYMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KINSEY
Other - Middle Name:RACHEL
Other - Last Name:RIVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5433 ROBERTS STREET
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226
Mailing Address - Country:US
Mailing Address - Phone:913-422-5200
Mailing Address - Fax:913-422-5218
Practice Address - Street 1:5433 ROBERTS STREET
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226
Practice Address - Country:US
Practice Address - Phone:913-422-5200
Practice Address - Fax:913-422-5218
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010022777152W00000X
KS1876152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist