# OAKLAND COUNTY UROLOGISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548256126
- **Authorized official:** DR. KENNETH LIM DO (PRESIDENT)
- **Authorized official phone:** (248) 674-8530

## Contact information

- **Practice address:** 3145 DIXIE HWY, WATERFORD, MI 48328-1602
- **Practice address phone:** (248) 674-8530
- **Mailing address:** 3145 DIXIE HWY, WATERFORD, MI 48328-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | KL007576 | MI | — |
| 208800000X | Urology Physician | LC001596 | MI | Yes |
| 208800000X | Urology Physician | WM007547 | MI | — |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1506795 | — | MI |
| 05 | — | 1764655 | — | MI |
| 05 | — | 3484033 | — | MI |