KENNETH BAZYDLO
Family Medicine
Active
Individual
NPI: 1558854174
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | MT215774 (PA) |
Frequently Asked Questions
NPI 1558854174 is the National Provider Identifier for KENNETH BAZYDLO, a Family Medicine provider located in Edgewood, KY. This NPI was enumerated on June 8, 2018.
KENNETH BAZYDLO practices at 413 SOUTH LOOP ROAD, Edgewood, KY 41017.
Quick Facts
- NPI
- 1558854174
- Type
- Individual
- Enumerated
- Jun 8, 2018
- Last Updated
- Jan 12, 2026
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