Individual
DR. KENNETH E HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 W BROADWAY ST, SUITE B, LAWRENCEBURG, KY 40342-1541
(502) 839-6981
(502) 839-1041
Mailing address
PO BOX 288, LAWRENCEBURG, KY 40342-0288
(502) 839-6981
(502) 839-1041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65916165
—
KY
Enumeration date
08/23/2005
Last updated
05/14/2015
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