Halcomb, Kenneth Shane

Halcomb, Kenneth Shane is an individual health care provider with primary practice located at 2875 Lewis Lane Suite B, Paris TX 75460-9331. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Halcomb, Kenneth Shane can be contacted via phone (903) 785-3861.

Contact Information

Primary practice address
2875 Lewis Lane Suite B Paris TX 75460-9331
Phone: (903) 785-3861
Fax: (903) 739-8768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2635 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1090686 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 2635 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2635 Oklahoma

Profile Details

NPI number 1639119324
LBN Legal business name Halcomb, Kenneth Shane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 14th, 2008 - about 17 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 1639119324 NPPES
Other 5197152 AETNA PROVIDER NUMBER
Other 120499 AETNA PROVIDER NUMBER
Other 80813T AETNA PROVIDER NUMBER

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