# KENNETH C. LEWIS MD,LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912639642
- **Authorized official:** DEBBIE JOHNS (CREDENTIALER)
- **Authorized official phone:** (970) 254-1686

## Contact information

- **Practice address:** 201 W PARK DR, GRAND JUNCTION, CO 81505-1469
- **Practice address phone:** (509) 591-0070
- **Mailing address:** 8524 W GAGE BLVD \# 319, KENNEWICK, WA 99336-8241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022