Lose, Kenneth Wayne
Lose, Kenneth Wayne is an individual health care provider with primary practice located at 29 Eury Ln , Somerset KY 42501-4115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lose, Kenneth Wayne can be contacted via phone (606) 678-8881.Contact Information
Primary practice address
29 Eury Ln
Somerset KY 42501-4115
Phone: (606) 678-8881
Fax: (606) 678-8881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5243 | Kentucky |
Profile Details
| NPI number | 1679582613 |
|---|---|
| LBN Legal business name | Lose, Kenneth Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679582613 | NPPES |
| Kentucky | MEDICAID | 60052438 |
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