Kenneth L Gwinn MD PC
NPI 1629163217ActiveOrganization· Otolaryngology, Otolaryngology/Facial Plastic Surgery· Shelby Township, MI
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Shelby Township, Michigan, registered in NPPES in October 2006. The authorized official on file is Kenneth L. Gwinn, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629163217 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Oct 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Otolaryngology/Facial Plastic Surgery Primary | 207YX0905X | KG050974 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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