Camacho, Kenneth B
Camacho, Kenneth B is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Ste 401 , Owensboro KY 42303-9774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Camacho, Kenneth B can be contacted via phone (270) 417-7800.Contact Information
Primary practice address
1301 Pleasant Valley Rd Ste 401
Owensboro KY 42303-9774
Phone: (270) 417-7800
Fax: (270) 417-7809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 57390 | Kentucky |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036101777 | Illinois |
Profile Details
| NPI number | 1750323424 |
|---|---|
| LBN Legal business name | Camacho, Kenneth B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jun 26th, 2023 - about last year |
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 | 1750323424 | NPPES |
| Illinois | MEDICAID | 036101777 | |
| Illinois | Other | 371221637 | |
| Illinois | Other | IL0114 | |
| Illinois | Other | 07215152 | |
| Illinois | Other | 100014760 | |
| Illinois | Other | 426249 | |
| Illinois | Other | 067597 | |
| Illinois | Other | 776530 | |
| Illinois | Other | 7036279 | |
| Illinois | MEDICAID | 7100877910 |
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