O'Koon, Kevin A

O'Koon, Kevin A is an individual health care provider with primary practice located at 3900 Kresge Way Ste 44 , Louisville KY 40207-4681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. O'Koon, Kevin A can be contacted via phone (502) 897-6700.

Contact Information

Primary practice address
3900 Kresge Way Ste 44 Louisville KY 40207-4681
Phone: (502) 897-6700
Fax: (502) 897-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33122 Kentucky

Profile Details

NPI number 1932106465
LBN Legal business name O'Koon, Kevin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 13th, 2023 - about last year

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 1932106465 NPPES
Kentucky Other 0000000189866 ANTHEM FACET NUMBER
Kentucky MEDICAID 1054637 ANTHEM FACET NUMBER
Kentucky MEDICAID 64331226 ANTHEM FACET NUMBER

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