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Contact Information

KENNETH C IVERSON, MD
740 SOUTH LIMESTONE KENTUCKY CLINIC C300
LEXINGTON, KY40536-0293
 Phone: 859-257-5405
 Fax: 859-257-5096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KENNETH C IVERSON · (Male)

NPI # 1124225479
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2007
Last updated 10/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 48196
  • KY Medicaid 7100357020
Hospital affiliation(s) Not Available
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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