Hargrove, Kenneth R.

Hargrove, Kenneth R. is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hargrove, Kenneth R. can be contacted via phone (270) 825-7200.

Contact Information

Primary practice address
200 Clinic Dr Madisonville KY 42431-1661
Phone: (270) 825-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23585 Kentucky

Profile Details

NPI number 1467413047
LBN Legal business name Hargrove, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 4th, 2020 - about 5 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 1467413047 NPPES
Kentucky Other 000000475396 BCBS PIN - CHS, INC.
Kentucky MEDICAID 6423585600 BCBS PIN - CHS, INC.
Kentucky Other P01367929 BCBS PIN - CHS, INC.

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