Provider Demographics
NPI:1750671947
Name:RAMOS, KENNETH SOLIE (MD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:SOLIE
Last Name:RAMOS
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 1:1002 POPLAR POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:KY
Mailing Address - Zip Code:40026-7744
Mailing Address - Country:US
Mailing Address - Phone:502-930-7151
Mailing Address - Fax:
Practice Address - Street 1:1002 POPLAR POINTE WAY
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:KY
Practice Address - Zip Code:40026-7744
Practice Address - Country:US
Practice Address - Phone:502-930-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2011-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program