Individual
KENNETH BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1080 GLENSBORO RD, LAWRENCEBURG, KY 40342-9033
(502) 839-4091
Mailing address
PO BOX 4168, FRANKFORT, KY 40604-4168
(502) 223-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29651
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64296510
—
KY
Enumeration date
05/03/2006
Last updated
01/16/2014
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