Provider Demographics
NPI:1427153147
Name:LEWIS, DAVID KENNEDY II (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KENNEDY
Last Name:LEWIS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:5100 RINGS RD
Mailing Address - Street 2:RR1-01-C4
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1522
Mailing Address - Country:US
Mailing Address - Phone:614-435-6766
Mailing Address - Fax:614-435-6778
Practice Address - Street 1:5100 RINGS RD
Practice Address - Street 2:RR1-01-C4
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1522
Practice Address - Country:US
Practice Address - Phone:614-435-6766
Practice Address - Fax:614-435-6778
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH35-062046207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine