Blue, Kenneth Mciver

Blue, Kenneth Mciver is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd Suite 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 Suite 3000 Baton Rouge LA 70810-7827
Phone: (225) 766-8100
Fax: (225) 408-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X FL#TRN4689 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X MD.200727 Louisiana

Profile Details

NPI number 1154382083
LBN Legal business name Blue, Kenneth Mciver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154382083 NPPES
Louisiana MEDICAID 1502821

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