Individual
KENNETH LYNN SILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 DUTCHMANS PKWY, #380, LOUISVILLE, KY 40205-3372
(502) 894-8441
(502) 894-4453
Mailing address
6420 DUTCHMANS PKWY, #380, LOUISVILLE, KY 40205-3372
(502) 894-8441
(502) 894-4453
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01023705A
IN
207Y00000X
Otolaryngology Physician
Primary
17604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000454443
ANTHEM FACET
KY
01
—
040006458
RAILROAD MEDICARE
KY
05
—
200065780A
—
IN
05
—
64176043
—
KY
Enumeration date
07/07/2005
Last updated
02/18/2014
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