Newman, Kenneth Lyle

Newman, Kenneth Lyle is an individual health care provider with primary practice located at 4445 Ivanrest Ave Sw , Grandville MI 49418-3150. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Newman, Kenneth Lyle can be contacted via phone (616) 532-1065.

Contact Information

Primary practice address
4445 Ivanrest Ave Sw Grandville MI 49418-3150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302028356 Michigan

Profile Details

NPI number 1679857718
LBN Legal business name Newman, Kenneth Lyle
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2011
Last updated Oct 7th, 2011 - about 13 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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