Individual
LEWIS KENNETH BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39447 OLD DOMINION DR, CLINTON TOWNSHIP, MI 48038-2649
(517) 425-1819
Mailing address
2021 S SANDSTONE RD, JACKSON, MI 49201-9371
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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