Edwards, Kenneth J
Edwards, Kenneth J is an individual health care provider with primary practice located at 183 Peace Blvd , Saint Joseph MI 49085-9146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Edwards, Kenneth J can be contacted via phone (269) 428-3500.Contact Information
Primary practice address
183 Peace Blvd
Saint Joseph MI 49085-9146
Phone: (269) 428-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301061344 | Michigan |
Profile Details
| NPI number | 1447239967 |
|---|---|
| LBN Legal business name | Edwards, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Sep 9th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447239967 | NPPES |
| Michigan | MEDICAID | 4554025 |
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