Individual
DR. KENNETH SCOTT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BOW STREET, ELKTON, MD 21921
(410) 392-7009
(410) 620-1494
Mailing address
106 BOW STREET, ELKTON, MD 21921
(410) 392-7009
(410) 620-1494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0001534
DE
207R00000X
Internal Medicine Physician
Primary
D0019043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460701500
—
MD
Enumeration date
12/20/2007
Last updated
03/19/2020
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