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Contact Information

KENNETH R LAWRENCE, DPM
30335 W 13 MILE RD STE 100
FARMINGTON HILLS, MI48334
 Phone: 248-476-1616
 Fax: 248-476-6683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH R LAWRENCE · (Male)

NPI # 1639183130
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/28/2006
Last updated 05/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # KL000565
  • MI Medicaid 1243424
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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