Individual
KENNETH J. HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 795-3360
(219) 756-6500
Mailing address
9001 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 795-3360
(219) 756-6500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01049497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200183350
—
IN
Enumeration date
08/02/2005
Last updated
02/04/2010
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