Provider Demographics
NPI:1639210891
Name:ZEGART, KENNETH NORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:NORTON
Last Name:ZEGART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PENRUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1833
Mailing Address - Country:US
Mailing Address - Phone:502-897-1266
Mailing Address - Fax:502-897-3819
Practice Address - Street 1:300 PENRUTH AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1833
Practice Address - Country:US
Practice Address - Phone:502-897-1266
Practice Address - Fax:502-897-3819
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology