Individual
KENNETH LEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3461 WARRENSVILLE CENTER ROAD, 303, SHAKER HEIGHTS, OH 44122-5227
(216) 752-0727
Mailing address
3461 WARRENSVILLE CENTER RD STE 303, SHAKER HEIGHTS, OH 44122-5227
(216) 752-0727
(216) 752-0727
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2580-E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116438
ANTHEM BC & BS
OH
05
—
0753297
—
OH
Enumeration date
02/06/2007
Last updated
01/09/2026
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