Kijewski, Konrad

Kijewski, Konrad is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 200 , Louisville KY 40207-4709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kijewski, Konrad can be contacted via phone (502) 897-1794.

Contact Information

Primary practice address
4130 Dutchmans Ln Ste 200 Louisville KY 40207-4709
Phone: (502) 897-1794
Fax: (502) 897-3852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 40634 Kentucky

Profile Details

NPI number 1184767048
LBN Legal business name Kijewski, Konrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Dec 12th, 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 1184767048 NPPES
Indiana MEDICAID 300028796
Indiana MEDICAID 64130453

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