Pahren, Kenneth J

Pahren, Kenneth J is an individual health care provider with primary practice located at 11137 Us Highway 52 , Brookville IN 47012-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pahren, Kenneth J can be contacted via phone (765) 647-5126.

Contact Information

Primary practice address
11137 Us Highway 52 Brookville IN 47012-7901
Phone: (765) 647-5126
Fax: (765) 647-5900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01064537A Indiana

Profile Details

NPI number 1841295409
LBN Legal business name Pahren, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 29th, 2021 - about 5 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 1841295409 NPPES
Indiana MEDICAID 100328820
Indiana MEDICAID 0779886

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