Maffet, Charles Kenny

Maffet, Charles Kenny is an individual health care provider with primary practice located at 105 Diecks Dr , Elizabethtown KY 42701-2444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Maffet, Charles Kenny can be contacted via phone (270) 737-6300.

Contact Information

Primary practice address
105 Diecks Dr Elizabethtown KY 42701-2444
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 15586 Kentucky

Profile Details

NPI number 1033320619
LBN Legal business name Maffet, Charles Kenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Dec 8th, 2010 - about 14 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 1033320619 NPPES
Kentucky MEDICAID 4444056018002

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