Gravett, Kenneth Reed
Gravett, Kenneth Reed is an sole proprietor health care provider with primary practice located at 517 Washington St , Shelbyville KY 40065-1129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gravett, Kenneth Reed can be contacted via phone (502) 633-0120.Contact Information
Primary practice address
517 Washington St
Shelbyville KY 40065-1129
Phone: (502) 633-0120
Fax: (502) 633-0882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02078 | Kentucky |
Profile Details
| NPI number | 1548261191 |
|---|---|
| LBN Legal business name | Gravett, Kenneth Reed |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Nov 3rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548261191 | NPPES |
| Kentucky | MEDICAID | 64020787 |
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