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Contact Information

KENNETH L EDWARDS, DPM
3461 WARRENSVILLE CENTER ROAD
303
SHAKER HEIGHTS, OH44122-5227
 Phone: 216-752-0727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH L EDWARDS · (Male)

NPI Number 1114066065
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/06/2007
Last updated 01/09/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 36-00-2580-E
  • OH Medicaid 0753297
  • OH Other 000000116438 ANTHEM BC & BS
Hospital affiliation(s) Not Available
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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