Heberling, Kenneth T

Heberling, Kenneth T is an individual health care provider with primary practice located at 1 Medical Village Dr St. Elizabeth Healthcare, Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Heberling, Kenneth T can be contacted via phone (859) 344-7207.

Contact Information

Primary practice address
1 Medical Village Dr St. Elizabeth Healthcare Edgewood KY 41017-3403
Phone: (859) 344-7207
Fax: (859) 344-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39322 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39322 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35083786 Ohio

Profile Details

NPI number 1669465423
LBN Legal business name Heberling, Kenneth T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated May 3rd, 2012 - about 13 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 1669465423 NPPES
Kentucky MEDICAID 64107600
Kentucky MEDICAID 2594652
Kentucky MEDICAID 200977020

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