National Provider Identifier
Kenneth Robert Lewis, NYCPS-3799
Kenneth Robert Lewis, NYCPS-3799 is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 325-3145.
Source: public NPPES record, last updated August 18, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1467064832
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- August 18, 2020
- Last Updated
- August 18, 2020
Practice Location
- 320 N Goodman St Ste 202320
- Rochester, NY 14607-1185
Phone: (585) 325-3145
Mailing Address
- 320 N Goodman St
- Rochester, NY 14607-1185
Specialties
- Peer Specialist (175T00000X)
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Full Record
- NPI
- 1467064832
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Kenneth
- Middle Name
- Robert
- Credential
- NYCPS-3799
- Mailing Street Address
- 320 N Goodman St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1185
- Mailing Country
- US
- Mailing Phone
- (585) 325-3145
- Mailing Fax
- (585) 244-3999
- Practice Street Address
- 320 N Goodman St Ste 202320
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1185
- Practice Country
- US
- Practice Phone
- (585) 325-3145
- Practice Fax
- (585) 244-3999
- Enumeration Date
- August 18, 2020
- Last Updated
- August 18, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)