Abbott, Kenneth W

Abbott, Kenneth W is an individual health care provider with primary practice located at 2222 W Lexington Ave , Elkhart IN 46514-1420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Abbott, Kenneth W can be contacted via phone (574) 294-3030.

Contact Information

Primary practice address
2222 W Lexington Ave Elkhart IN 46514-1420
Phone: (574) 294-3030
Fax: (574) 294-3544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0102595A Indiana

Profile Details

NPI number 1770664138
LBN Legal business name Abbott, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770664138 NPPES
Indiana MEDICAID 100112470
Indiana Other 180041763

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