Holbert, Kenneth L

Holbert, Kenneth L is an individual health care provider with primary practice located at 1559 Sparta St , Mc Minnville TN 37110-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holbert, Kenneth L can be contacted via phone (931) 815-4000.

Contact Information

Primary practice address
1559 Sparta St Mc Minnville TN 37110-1316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21847 Tennessee

Profile Details

NPI number 1093762148
LBN Legal business name Holbert, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 6th, 2007 - about 18 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 1093762148 NPPES
Tennessee Other P00297030 MEDICARE RAILROAD
Tennessee Other P00259801 MEDICARE RAILROAD
Tennessee MEDICAID 3073134 MEDICARE RAILROAD
Tennessee Other 3051807 MEDICARE RAILROAD
Tennessee Other 3062431 MEDICARE RAILROAD
Tennessee Other 37513 MEDICARE RAILROAD
Tennessee Other 532950 MEDICARE RAILROAD
Tennessee Other 3045786 MEDICARE RAILROAD
Tennessee Other 5001148 MEDICARE RAILROAD
Tennessee MEDICAID 3333055 MEDICARE RAILROAD
Tennessee MEDICAID 3073132 MEDICARE RAILROAD

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