Gwinn, Kenneth

Gwinn, Kenneth is an individual health care provider with primary practice located at 48681 Hayes Rd , Shelby Township MI 48315-4403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Gwinn, Kenneth can be contacted via phone (586) 799-1212.

Contact Information

Primary practice address
48681 Hayes Rd Shelby Township MI 48315-4403
Phone: (586) 799-1212
Fax: (586) 799-1210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X KG050974 Michigan

Profile Details

NPI number 1003910118
LBN Legal business name Gwinn, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Dec 22nd, 2011 - about 14 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 1003910118 NPPES
Michigan Other C7134 MCARE HMO
Michigan Other 131442 MCARE HMO
Michigan Other 258611 MCARE HMO
Michigan Other 000000009639 MCARE HMO
Michigan Other 0405011981 MCARE HMO

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