Individual
MR. KENNETH LLEWELLYN CHAMBERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17134 LORAIN AVE, CLEVELAND, OH 44111-5515
(216) 242-6366
Mailing address
9611 E IDLEWOOD DR, TWINSBURG, OH 44087-1684
(440) 789-6115
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
1760054456
OH
1744P3200X
Prosthetics Case Management
—
OH
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
1760054456
OH
224P00000X
Prosthetist
Primary
—
OH
Other
Enumeration date
07/13/2021
Last updated
08/02/2021
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