Halcomb, Kenneth Shane
Halcomb, Kenneth Shane is an individual health care provider with primary practice located at 2875 Lewis Lane Suite B, Paris TX 75460-9331. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Halcomb, Kenneth Shane can be contacted via phone (903) 785-3861.Contact Information
Primary practice address
2875 Lewis Lane Suite B
Paris TX 75460-9331
Phone: (903) 785-3861
Fax: (903) 739-8768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2635 | Oklahoma |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1090686 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2635 | Oklahoma |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2635 | Oklahoma |
Profile Details
| NPI number | 1639119324 |
|---|---|
| LBN Legal business name | Halcomb, Kenneth Shane |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 14th, 2008 - 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 | 1639119324 | NPPES |
| Other | 5197152 | AETNA PROVIDER NUMBER | |
| Other | 120499 | AETNA PROVIDER NUMBER | |
| Other | 80813T | AETNA PROVIDER NUMBER |
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