Kenitzer, Keith W

Kenitzer, Keith W is an individual health care provider with primary practice located at 700 Gagel Ave , Louisville KY 40216-4008. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kenitzer, Keith W can be contacted via phone (502) 366-7386.

Contact Information

Primary practice address
700 Gagel Ave Louisville KY 40216-4008
Phone: (502) 366-7386
Fax: (502) 366-2222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3816 Kentucky

Profile Details

NPI number 1740282045
LBN Legal business name Kenitzer, Keith W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740282045 NPPES
Kentucky Other 1136138 PASSPORT
Kentucky MEDICAID 85002103 PASSPORT
Kentucky Other 000000221631 PASSPORT
Kentucky Other 611274059A12 PASSPORT
Kentucky Other 350036040 PASSPORT

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