Waterbrook, Kenton Lee
Waterbrook, Kenton Lee is an individual health care provider with primary practice located at 3370 E Jolly Rd , Lansing MI 48910-8552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Waterbrook, Kenton Lee can be contacted via phone (517) 487-3717.Contact Information
Primary practice address
3370 E Jolly Rd
Lansing MI 48910-8552
Phone: (517) 487-3717
Fax: (517) 487-3472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | KW008742 | Michigan |
Profile Details
| NPI number | 1750377966 |
|---|---|
| LBN Legal business name | Waterbrook, Kenton Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750377966 | NPPES |
| Michigan | MEDICAID | 1912972 |
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