Kigorwe, Kenneth Masaka

Kigorwe, Kenneth Masaka is an individual health care provider with primary practice located at 1201 Michigan Avenue Suite 240, Logansport IN 46947-1530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kigorwe, Kenneth Masaka can be contacted via phone (574) 753-4500.

Contact Information

Primary practice address
1201 Michigan Avenue Suite 240 Logansport IN 46947-1530
Phone: (574) 753-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11013535A Indiana

Profile Details

NPI number 1831355270
LBN Legal business name Kigorwe, Kenneth Masaka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Jul 26th, 2011 - about 15 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 1831355270 NPPES
Indiana MEDICAID 200944250
Indiana Other 000000621189

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