Bazydlo, Kenneth

Bazydlo, Kenneth is an individual health care provider with primary practice located at 413 South Loop Road , Edgewood KY 41017-5446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bazydlo, Kenneth can be contacted via phone (859) 301-3800.

Contact Information

Primary practice address
413 South Loop Road Edgewood KY 41017-5446
Fax: (859) 301-3987
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT215774 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TP195 Kentucky

Profile Details

NPI number 1558854174
LBN Legal business name Bazydlo, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Jan 4th, 2023 - about 3 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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