Iverson, Kenneth Charles

Iverson, Kenneth Charles is an individual health care provider with primary practice located at 740 South Limestone Kentucky Clinic C300 , Lexington KY 40536-0293. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Iverson, Kenneth Charles can be contacted via phone (859) 257-5405.

Contact Information

Primary practice address
740 South Limestone Kentucky Clinic C300 Lexington KY 40536-0293
Phone: (859) 257-5405
Fax: (859) 257-5096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 48196 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 48196 Kentucky

Profile Details

NPI number 1124225479
LBN Legal business name Iverson, Kenneth Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Oct 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124225479 NPPES
Kentucky MEDICAID 7100357020

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