KENNETH L GWINN MD PC NPI 1629163217

NPI Information

NPI: 1629163217
Provider Name: KENNETH L GWINN MD PC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
48681 HAYES RD
SHELBY TOWNSHIP, MI
ZIP 48315
Phone: (586) 799-1212
Get Directions

KENNETH L GWINN MD PC is an otolaryngology/facial plastic surgery otolaryngology in Shelby Township, MI. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. KENNETH L GWINN MD PC NPI is 1629163217. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

48681 HAYES RD
SHELBY TOWNSHIP, MI
ZIP 48315
Phone: (586) 799-1212

The provider's authorized official is Kenneth L Gwinn .
The authorized official title is President and has the following contact phone number (586) 799-1212.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	KG050974	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	131442	OTHER	MICHIGAN	PREFERRED CHOICES
2	0405011981	OTHER	MICHIGAN	BCBS OF MICHIGAN
3	102795880	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
4	258611	OTHER	MICHIGAN	OMNICARE
5	E95575	MEDICARE UPIN	MICHIGAN
6	000000009639	OTHER	MICHIGAN	CAPE HEALTH
7	C7134	OTHER	MICHIGAN	MCARE HMO
8	0P08960001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
9	12795880	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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