Individual
KENAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E MARKET ST STE 3B, SMITHFIELD, NC 27577-3981
(919) 912-2030
Mailing address
39 WOOD STORK CT, CLAYTON, NC 27520-4178
(919) 912-2030
(919) 585-6822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16263
NC
Other
Enumeration date
01/26/2024
Last updated
06/28/2024
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