KENNETH HERRMANN M.D. NPI 1063522654

NPI Information

NPI: 1063522654
Provider Name: KENNETH HERRMANN, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
4199 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 842-4280
Get Directions

Kenneth Herrmann, M.D. is a neonatal-perinatal medicine pediatrics in Newburgh, IN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Kenneth Herrmann, M.D. NPI is 1063522654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4199 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-940
Phone: (812) 842-4280
Fax: (812) 842-4580

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	01058161A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64073281	MEDICAID	KENTUCKY
2	200455380	MEDICAID	INDIANA
3	01058161	OTHER	INDIANA	LICENSE
4	C97431	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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