Individual
DR. KENNETH WYNNE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CHARLEVOIX DR, GRAND LEDGE, MI 48837-2278
(517) 627-0100
(517) 627-0150
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 627-0100
(517) 627-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301111070
MI
Other
Enumeration date
05/25/2007
Last updated
01/12/2017
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