Gerson, Kenneth L

Gerson, Kenneth L is an individual health care provider with primary practice located at 171 N Eagle Creek Dr Suite 106, Lexington KY 40509-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Gerson, Kenneth L can be contacted via phone (859) 277-9112.

Contact Information

Primary practice address
171 N Eagle Creek Dr Suite 106 Lexington KY 40509-1801
Phone: (859) 277-9112
Fax: (859) 227-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 14056 Kentucky

Profile Details

NPI number 1366462061
LBN Legal business name Gerson, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1366462061 NPPES
Kentucky Other 000000045611 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64140569 BLUE CROSS BLUE SHIELD

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