Individual
KENNETH D CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9342 CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
(502) 239-3228
(502) 231-2517
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32818
KY
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
32818
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350663
ANTHEM / NMA
—
01
—
000000606004
ANTHEM / NAWCC
—
01
—
000052155G
HUMANA / NMA
—
01
—
009694
SIHO / NMA
—
01
—
1193581
CHA / NMA
—
01
—
2760466000
PASSPORT ADVANTAGE / NMA
—
01
—
3588385001
CIGNA / NMA
—
01
—
3701992000
PASSPORT ADVANTAGE / NAWCC
—
01
—
50011928
PASSPORT / NMA
—
01
—
50022968
PASSPORT / NAWCC
—
05
—
64877350
—
KY
01
—
P00181579
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
09/20/2024
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