Oder, Kenneth Lee

Oder, Kenneth Lee is an sole proprietor health care provider with primary practice located at 12615 Taylorsville Rd , Louisville KY 40299-4452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oder, Kenneth Lee can be contacted via phone (502) 261-1595.

Contact Information

Primary practice address
12615 Taylorsville Rd Louisville KY 40299-4452
Phone: (502) 261-1595
Fax: (502) 261-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25195 Kentucky

Profile Details

NPI number 1710984273
LBN Legal business name Oder, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Jul 13th, 2016 - about 10 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 1710984273 NPPES
Kentucky MEDICAID 64251952

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