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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1760600126 | NPPES |
Kentucky | MEDICAID | 7100021270 |
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