Joseph, Kassaw A

Joseph, Kassaw A is an sole proprietor health care provider with primary practice located at 200 Medical Center Dr , Hazard KY 41701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Joseph, Kassaw A can be contacted via phone (606) 439-6600.

Contact Information

Primary practice address
200 Medical Center Dr Hazard KY 41701
Fax: (606) 439-6953
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 41512 Kentucky

Profile Details

NPI number 1861453409
LBN Legal business name Joseph, Kassaw A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jun 27th, 2018 - about 6 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 1861453409 NPPES
Kentucky MEDICAID 7100030010

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