Evans, Kenneth Wynne
Evans, Kenneth Wynne is an individual health care provider with primary practice located at 1015 Charlevoix Dr , Grand Ledge MI 48837-2278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Kenneth Wynne can be contacted via phone (517) 627-0100.Contact Information
Primary practice address
1015 Charlevoix Dr
Grand Ledge MI 48837-2278
Phone: (517) 627-0100
Fax: (517) 627-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301111070 | Michigan |
Profile Details
| NPI number | 1144431651 |
|---|---|
| LBN Legal business name | Evans, Kenneth Wynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jan 12th, 2017 - about 7 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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