Individual
DR. KENNETH LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
(248) 674-8530
(248) 674-2198
Mailing address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
(248) 674-8530
(248) 674-2198
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
KL007576
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506795
—
MI
Enumeration date
11/08/2006
Last updated
07/08/2007
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