DR. KENNETH LIM (NPI# 1548339898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339898 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LIM |
| Credential | D.O. |
| Practice Address |
3145 Dixie Hwy Waterford MI 48328-1602 |
| Practice Telephone | 2486748530 |
| Practice Fax Number | 2486742198 |
| Mailing Telephone | 2486748530 |
| Mailing Fax Number | 2486742198 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | KL007576 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1506795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205303310 | Kenneth Tan Lim | Physical Therapist | 10442 Gaynor Ave, Granada Hills, CA 91344-7024 | 2018-10-26 |
| 1881659308 | Kenneth Lim | Family Medicine | 7242 W Colonial Dr, Orlando, FL 32818-6749 | 2006-04-18 |
| 1164982641 | Kenneth Lim | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2019-03-21 |
| 1316280381 | Kenneth Jia-en Lim | Internal Medicine | 165 Cambridge Street, Suite 302, Boston, MA 02114 | 2013-03-28 |
| 1679801039 | Kenneth Paul Lim | Dentist | 418 N Main St, Wasilla, AK 99654-7018 | 2009-11-24 |
| 1801089743 | Kenneth Lim | Social Worker | 760 Harrison St, San Francisco, CA 94107-1235 | 2007-08-23 |
| Street Address |
3145 DIXIE HWY |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256126 | Oakland County Urologists PC | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2005-09-20 |
| 1134298482 | Lucy Coccimiglio | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2006-11-08 |
| 1972672228 | William Mcdevitt | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538123609 | Steven J Roth | Urology | 3265 Harbours Blvd, Waterford, MI 48328-4180 | 2006-04-14 |
| 1548256126 | Oakland County Urologists PC | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2005-09-20 |
| 1134298482 | Lucy Coccimiglio | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2006-11-08 |
| 1972672228 | William Mcdevitt | Urology | 3145 Dixie Hwy, Waterford, MI 48328-1602 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
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| 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.