Manion, Kenny Joe

Manion, Kenny Joe is an individual health care provider with primary practice located at 411 S L Roger Wells Blvd , Glasgow KY 42141-1191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manion, Kenny Joe can be contacted via phone (270) 651-7796.

Contact Information

Primary practice address
411 S L Roger Wells Blvd Glasgow KY 42141-1191
Phone: (270) 651-7796
Fax: (270) 651-7074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24806 Kentucky

Profile Details

NPI number 1518951896
LBN Legal business name Manion, Kenny Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 2nd, 2024 - about 9 months 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 1518951896 NPPES
Kentucky MEDICAID 64248065

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