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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1750388286 | NPPES |
| Kentucky | MEDICAID | 64221575 | |
| Kentucky | Other | 040003868 |
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