Provider Demographics
NPI:1972508810
Name:ZEHNER, JOSEPH B (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:ZEHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42276-3086
Mailing Address - Country:US
Mailing Address - Phone:270-725-8660
Mailing Address - Fax:888-735-8407
Practice Address - Street 1:1623 NASHVILLE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:RUSSELLVILLE
Practice Address - State:KY
Practice Address - Zip Code:42276-8889
Practice Address - Country:US
Practice Address - Phone:270-725-8660
Practice Address - Fax:888-735-8407
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41143207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100023780Medicaid
KY1008210002Medicare NSC
KYE41719Medicare UPIN
KY1971101Medicare PIN