Blue, Kenneth Mciver
Blue, Kenneth Mciver is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd Ste 3000, Baton Rouge LA 70810-7827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blue, Kenneth Mciver can be contacted via phone (225) 766-8100.Contact Information
Primary practice address
8080 Bluebonnet Blvd Ste 3000
Baton Rouge LA 70810-7827
Phone: (225) 766-8100
Fax: (225) 766-3240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 011230 | Louisiana |
Profile Details
| NPI number | 1033154968 |
|---|---|
| LBN Legal business name | Blue, Kenneth Mciver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 23rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033154968 | NPPES |
| Louisiana | Other | 011230 | MEDICAL LICENSE |
| Louisiana | MEDICAID | 1117609 | MEDICAL LICENSE |
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