Individual
MR. KENNETH JOHN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 HARVARD AVE, ELYRIA, OH 44035
(440) 986-0689
Mailing address
214 HARVARD AVE, ELYRIA, OH 44035
(440) 986-0689
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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