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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1033154968 NPPES
Louisiana Other 011230 MEDICAL LICENSE
Louisiana MEDICAID 1117609 MEDICAL LICENSE

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