Kenneth Gwinn
Otolaryngology/Facial Plastic Surgery
48681 Hayes Rd
Shelby Township
, Michigan 48315-4403
Kenneth Gwinn
Otolaryngology/Facial Plastic Surgery
48681 Hayes Rd
Shelby Township
, Michigan 48315-4403
(586) 799-1210
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Kenneth Gwinn
- 48681 Hayes Rd
- Shelby Township, MI
- Zip : 48315-4403
- Fax : (586) 799-1210
- Phone : (586) 799-1212
Second Address
- Kenneth Gwinn
- 48681 Hayes Rd
- Shelby Township, MI
- Zip : 48315-4403
- Fax : (586) 799-1210
- Phone : (586) 799-1212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | KG050974 | MI |
National Provider Identifier
| NPI | 1003910118 |
|---|---|
| Provider Name | Kenneth Gwinn |
| First Address | Shelby Township, MI 48315-4403 |
| Second Address | Shelby Township, MI 48315-4403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2006 |
| Last Update Date | 22/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000009639 | CAPE HEALTH (01) | MI |
| 0405011981 | BCBS (01) | MI |
| 131442 | PREFERRED CHOICES (01) | MI |
| 258611 | OMNICARE (01) | MI |
| C7134 | MCARE HMO (01) | MI |
| E95575 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.