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Kenneth Bryant Lewis, DO
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1952751315

Kenneth Bryant Lewis is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Kenneth Bryant Lewis practices in Fayetteville, NC and has the professional credentials of DO. The NPI Number for Kenneth Bryant Lewis is 1952751315 and holds a License No. 5101022678 (North Carolina).

The current practice location address for Kenneth Bryant Lewis is 1638 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-615-5095.

Location: 1638 Owen Dr, Fayetteville, NC, 28304-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952751315
Provider Name
Kenneth Bryant Lewis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1638 Owen Dr, Fayetteville, NC, 28304-3424
Phone Number
910-615-5095
Fax Number
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-5095
Fax Number
person
Provider Business Mailing Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-5095
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2018-02509 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101022678 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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