Lawrence, Kenneth Richard
Lawrence, Kenneth Richard is an individual health care provider with primary practice located at 30335 W 13 Mile Rd Ste 100 , Farmington Hills MI 48334. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lawrence, Kenneth Richard can be contacted via phone (248) 476-1616.Contact Information
Primary practice address
30335 W 13 Mile Rd Ste 100
Farmington Hills MI 48334
Phone: (248) 476-1616
Fax: (248) 476-6683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | KL000565 | Michigan |
Profile Details
| NPI number | 1639183130 |
|---|---|
| LBN Legal business name | Lawrence, Kenneth Richard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | May 29th, 2018 - about 6 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 | 1639183130 | NPPES |
| Michigan | MEDICAID | 1243424 |
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