Piech, Kenneth S

Piech, Kenneth S is an individual health care provider with primary practice located at 5301 Virginia Way Ste 300, Brentwood TN 37027-7541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Piech, Kenneth S can be contacted via phone (615) 221-4474.

Contact Information

Primary practice address
5301 Virginia Way Ste 300 Brentwood TN 37027-7541
Phone: (615) 221-4474
Fax: (615) 234-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35914 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036597 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 39446 Tennessee

Profile Details

NPI number 1003907775
LBN Legal business name Piech, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003907775 NPPES
Georgia Other 319816 WELLCARE MEDICAID GA CMO
Georgia Other 52287629004 WELLCARE MEDICAID GA CMO
Georgia MEDICAID 64014897 WELLCARE MEDICAID GA CMO

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