Hodge, Kenneth M

Hodge, Kenneth M is an individual health care provider with primary practice located at 2944 Breckenridge Ln , Louisville KY 40220-1409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Hodge, Kenneth M can be contacted via phone (502) 893-0159.

Contact Information

Primary practice address
2944 Breckenridge Ln Louisville KY 40220-1409
Phone: (502) 893-0159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01040152A Indiana
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 22157 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01040152A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22157 Kentucky

Profile Details

NPI number 1750388286
LBN Legal business name Hodge, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 15th, 2022 - about 3 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 1750388286 NPPES
Kentucky MEDICAID 64221575
Kentucky Other 040003868

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