National Provider Identifier Database

KENNETH L EDWARDS, DPM – NPI #1114066065
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KENNETH L EDWARDS, DPM
3461 WARRENSVILLE CENTER ROAD
303
SHAKER HEIGHTS, OH44122-5227
Phone: 216-752-0727
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for KENNETH L EDWARDS

NPI Number 1114066065
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/06/2007
Last updated 01/09/2026 - About 5 months ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 36-00-2580-E
  • OH Medicaid: 0753297
  • OH Other: 000000116438 ANTHEM BC & BS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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