Individual
DR. KENNETH RANDALL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LMFT
Contact information
Practice address
1802 N ALAFAYA TRL, SUITE 115, ORLANDO, FL 32826-4716
(407) 766-0020
Mailing address
1802 N ALAFAYA TRL, SUITE 115, ORLANDO, FL 32826-4716
(407) 766-0020
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2615
FL
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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