Individual
KENNETH G COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4015 GATEWAY BLVD, NEWBURGH, IN 47630-8925
(812) 858-6244
(812) 842-3480
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 842-3480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109178
BCBS PIN
IN
01
—
000000504772
BCBS - LPI
IN
05
—
100340860
—
IN
01
—
P00386083
RR MEDICARE
IN
Enumeration date
05/31/2005
Last updated
12/10/2015
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