Provider Demographics
NPI:1841298676
Name:FILBECK, JEFFREY KENT (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KENT
Last Name:FILBECK
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:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:BUILDING D
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-926-8171
Practice Address - Fax:270-926-4574
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY326792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200855130Medicaid
KY000000569165OtherBCBS (COOPERATIVE HEALTH SERVICES INC)
KY6407890000Medicaid
KY000000323314OtherANTHEM BCBS
KY1364105Medicare PIN
KY3397756Medicare PIN
KYI01528Medicare UPIN
KY6407890000Medicaid