Kenton Lee Waterbrook in Lansing - Orthopaedic Surgery
Kenton Lee Waterbrook - NPI 1750377966
Kenton Lee Waterbrook is a Orthopaedic Surgery in Lansing, Michigan. Kenton Lee Waterbrook practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Kenton Lee Waterbrook is 1750377966. The last update date is 2011-08-12.
Kenton Lee Waterbrook's current location address is 3370 E Jolly Rd, Lansing, Michigan. You can contact this provider via phone number 5174873717 and fax number 5174873472. The mailing address for Kenton Lee Waterbrook is 3370 E Jolly Rd, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenton Lee Waterbrook |
|---|---|
| Address | 3370 E Jolly Rd, Lansing, Michigan |
| Phone Number | 5174873717 |
| Fax Number | 5174873472 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750377966 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2011-08-12 |
Provider Mailing Address Detail
| Address | 3370 E Jolly Rd |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 489108552 |
| Phone Number | 5174873717 |
| Fax Number | 5174873472 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | KW008742 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1912972 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenton Lee Waterbrook?
The Kenton Lee Waterbrook has been issued the NPI (National Provider Identifier) 1750377966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kenton Lee Waterbrook's physical address?
The Kenton Lee Waterbrook is physically located at 3370 E Jolly Rd, in the city of Lansing, MI, with the postal code 489108552.
What is Kenton Lee Waterbrook's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenton Lee Waterbrook is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750377966 to Kenton Lee Waterbrook?
The Centers for Medicare & Medicaid Services assigned the 1750377966 to Kenton Lee Waterbrook on 2005-09-22.
As of what date were the details related to Kenton Lee Waterbrook most recently updated or revised?
The information pertaining to Kenton Lee Waterbrook, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-12.