KENNETH L GWINN MD PC – NPI #1629163217
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

KENNETH L GWINN MD PC is an otolaryngologist located in SHELBY, MI. NPPES has assigned the NPI number 1629163217 to KENNETH L GWINN MD PC on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 18 years ago on Oct 02, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH L GWINN MD PC below.

NPI Profile for
KENNETH L GWINN MD PC

NPI Number
1629163217
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNETH L GWINN MD PC
Primary location
48681 HAYES RD
SHELBY, MI 48315
Phone: (586) 799-1212 Fax:
Mailing address
1976 MOMENTUM PL
CHICAGO, IL 60689-5319
Phone: (586) 799-1212 Fax:
Organization Subpart
No
Authorized Official
KENNETH GWINN
PRESIDENT
Phone: (586) 799-1212
Updated
Identifiers

Identifiers for KENNETH L GWINN MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS OF MICHIGANMI0405011981
OTHERCAPE HEALTHMI000000009639
OTHERGREAT LAKES HEALTH PLANMI102795880
OTHERMCARE HMOMIC7134
OTHEROMNICAREMI258611
OTHERPREFERRED CHOICESMI131442
MEDICAIDMI12795880
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)
MI KG050974

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.