DR. KENNETH WYNNE EVANS (NPI# 1144431651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144431651 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WYNNE EVANS |
| Credential | M.D. |
| Practice Address |
1015 Charlevoix Dr Grand Ledge MI 48837-2278 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5176270100 |
| Practice Fax Number | 5176270150 |
| Mailing Telephone | 5176270100 |
| Mailing Fax Number | 5176270150 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301111070 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043546971 | Kenneth Evans | Case Manager/Care Coordinator | 637 Royal Ave, Midwest City, OK 73130-2710 | 2009-10-28 |
| 1114967288 | Kenneth Evans | Family Medicine | 8821 W 6th Ave, Stillwater, OK 74074-1094 | 2006-06-07 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1801314778 | Kenneth Evans | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2017-08-31 |
| 1144629163 | Kenneth Lee Evans | Counselor | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-08-14 |
| 1194168013 | Kenneth D Evans | Audiologist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2013-04-10 |
| 1184972721 | Kenneth Evans | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2012-08-28 |
| 1023158839 | Kenneth R Evans | Marriage & Family Therapist | 275 Beck Ave, Fairfield, CA 94533 | 2007-02-08 |
| Street Address |
1015 CHARLEVOIX DR |
| City | GRAND LEDGE |
| State | MI |
| Zip Code | 48837-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750464780 | Edward W. Sparrow Hospital Association | Pharmacy | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2006-10-23 |
| 1487126744 | Steven H Tickle | Physical Therapy Assistant | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2018-12-27 |
| 1235601808 | Carol Ann Mills | Physical Therapy Assistant | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2018-12-20 |
| 1235630393 | Julie Marie Engler | Physical Therapist | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2018-02-23 |
| 1922509223 | Patrick Anthony Townshend | Physical Therapist | 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770061715 | Taylor Rene Van Horn | Chiropractor | 229 N. Bridge St., Grand Ledge, MI 48837 | 2018-08-01 |
| 1417334947 | Julie Ann Haan | Occupational Therapist | 6672 Ambassador Ave #111, Grand Ledge, MI 48837 | 2015-05-05 |
| 1386063022 | Rochelle Ashley Hughes | Obstetrics & Gynecology | 1035 Charlevoix Dr Ste 200, Grand Ledge, MI 48837 | 2014-04-09 |
| 1912255613 | Gordon William Jacobs | Home Health Aide | 202 1/2 Bridge St, Apt 6, Grand Ledge, MI 48837 | 2012-08-28 |
| 1497901524 | Edward D. Ball D.o., P.C. | Family Medicine | 313 S. Clinton, Grand Ledge, MI 48837 | 2008-08-08 |
| 1467667790 | Orthodontic Specialists of Mid-michigan, PC | Dentist | 1040 Charlevoix Drive, Ste, C, Grand Ledge, MI 48837 | 2007-05-11 |
| 1285773226 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 730 E. Saginaw Hwy, Grand Ledge, MI 48837 | 2007-02-06 |
| 1295893733 | James Anthony Voltattorni | Dentist | 312 Taylor, Grand Ledge, MI 48837 | 2006-12-05 |
| 1336224880 | Kaci Oda Chamberlin | Pharmacist | 508 S Clinton St, Grand Ledge, MI 48837 | 2006-10-25 |
| 1164525747 | Ethan H Childs | Chiropractor | 229 N Bridge St, Grand Ledge, MI 48837 | 2006-09-07 |
| Find all providers in zip 48837 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497901524 | Edward D. Ball D.o., P.C. | Family Medicine | 313 S. Clinton, Grand Ledge, MI 48837 | 2008-08-08 |
| 1750499083 | Edward Dean Ball | Family Medicine | 313 S Clinton, Grand Ledge, MI 48837 | 2006-08-28 |
| 1962516047 | Janet L Sprague | Family Medicine | 820 Charlevoix Dr Ste 220, Grand Ledge, MI 48837-8188 | 2006-08-18 |
| 1104821438 | Joseph Paul Van Ark | Family Medicine | 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837-9165 | 2005-06-14 |
| 1003306994 | Lien Lieve Swieringa | Family Medicine | 1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223 | 2018-05-16 |
| 1134543739 | Barbara D Saxena Md Pllc | Family Medicine | 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837-2432 | 2014-02-18 |
| 1871772848 | Barbara D Saxena Md Pllc | Family Medicine | 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837-8186 | 2007-10-26 |
| 1760661722 | Dr. Janet Sprague, D.o. PC | Family Medicine | 820 Charlevoix Dr, Suite 220, Grand Ledge, MI 48837-7100 | 2007-10-26 |
| 1689748725 | Eric G Smith | Family Medicine | 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837-2223 | 2006-11-20 |
| 1720152846 | Timothy J Izzo | Family Medicine | 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837-2223 | 2006-11-20 |
| Find all providers in GRAND LEDGE | ||||
| City | GRAND LEDGE |
| Zip Code | 48837 |
Please comment or provide details below to improve the information on DR. KENNETH WYNNE EVANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.