Edwards, Kenneth Lee

Edwards, Kenneth Lee is an sole proprietor health care provider with primary practice located at 3461 Warrensville Center Road 303, Shaker Heights OH 44122-5227. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Edwards, Kenneth Lee can be contacted via phone (216) 752-0727.

Contact Information

Primary practice address
3461 Warrensville Center Road 303 Shaker Heights OH 44122-5227
Phone: (216) 752-0727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36-00-2580-E Ohio

Profile Details

NPI number 1114066065
LBN Legal business name Edwards, Kenneth Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 26th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114066065 NPPES
Ohio MEDICAID 0753297
Ohio Other 000000116438

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