Hall, Kenneth
Hall, Kenneth is an individual health care provider with primary practice located at 6828 Bardstown Rd , Louisville KY 40291-3050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hall, Kenneth can be contacted via phone (502) 231-2020.Contact Information
Primary practice address
6828 Bardstown Rd
Louisville KY 40291-3050
Phone: (502) 231-2020
Fax: (502) 736-4490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1109DT | Kentucky |
Profile Details
| NPI number | 1124025853 |
|---|---|
| LBN Legal business name | Hall, Kenneth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jun 14th, 2010 - about 14 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 | 1124025853 | NPPES |
| Kentucky | MEDICAID | 77011096 |
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