Individual
DR. KENNETH J PAHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11137 US HIGHWAY 52, BROOKVILLE, IN 47012-7901
(765) 647-5126
(765) 647-5900
Mailing address
PO BOX 223, BATESVILLE, IN 47006-0223
(812) 933-5441
(812) 933-5446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064537A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0779886
—
OH
05
—
100328820
—
IN
Enumeration date
06/20/2005
Last updated
03/29/2021
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