Forwith, Keith D

Forwith, Keith D is an individual health care provider with primary practice located at 4004 Dupont Cir Suite 220, Louisville KY 40207-4819. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Forwith, Keith D can be contacted via phone (502) 893-0159.

Contact Information

Primary practice address
4004 Dupont Cir Suite 220 Louisville KY 40207-4819
Phone: (502) 893-0159
Fax: (502) 213-3853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36650 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 36650 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01054405A Indiana

Profile Details

NPI number 1467458083
LBN Legal business name Forwith, Keith D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jun 2nd, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467458083 NPPES
Kentucky Other 040015870 MEDICARE RR
Kentucky MEDICAID 64959729 MEDICARE RR

Popular Providers