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Contact Information

KENNETH M HODGE, MD
2944 BRECKENRIDGE LN
LOUISVILLE, KY40220-1409
 Phone: 502-893-0159
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH M HODGE · (Male)

NPI Number 1750388286
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01040152A
  • KY License # 22157
  • KY Medicaid 64221575
  • KY Other 040003868 MEDICARE RR
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
  • CLARK MEMORIAL HOSPITAL - (Acute Care)
    1220 MISSOURI AVE
    JEFFERSONVILLE, IN 47130
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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