Croce, Kevin J

Croce, Kevin J is an sole proprietor health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8727. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Croce, Kevin J can be contacted via phone (606) 523-8542.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8727
Phone: (606) 523-8542
Fax: (606) 523-8708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 42537 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42537 Kentucky

Profile Details

NPI number 1760600126
LBN Legal business name Croce, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Dec 3rd, 2020 - about 5 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 1760600126 NPPES
Kentucky MEDICAID 7100021270

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