Kensicki, Paul R

Kensicki, Paul R is an individual health care provider with primary practice located at 550 S Jackson St , Louisville KY 40202-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kensicki, Paul R can be contacted via phone (502) 852-1931.

Contact Information

Primary practice address
550 S Jackson St Louisville KY 40202-1622
Phone: (502) 852-1931
Fax: (502) 852-5098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33805 Kentucky

Profile Details

NPI number 1851362040
LBN Legal business name Kensicki, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 26th, 2010 - about 16 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 1851362040 NPPES
Indiana MEDICAID 200825440
Indiana Other 79959
Indiana Other 0026956
Indiana MEDICAID 64338056

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