Healthcare Provider Details

I. General information

NPI: 1093766073
Provider Name (Legal Business Name): KEVIN FLOWERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S DIXIE ST
HORSE CAVE KY
42749-1480
US

IV. Provider business mailing address

2323 LIME KILN LN
LOUISVILLE KY
40222-3416
US

V. Phone/Fax

Practice location:
  • Phone: 270-786-2191
  • Fax:
Mailing address:
  • Phone: 502-339-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26537
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number26537
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number26537
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: