MEDICARE: KERWIN DUNHAM DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	083028	IA

General Provider Information

NPI Number	:	1598116014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERWIN DUNHAM DPM

Provider Business Mailing Address
First Line	:	4102 W 6TH ST STE A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4626
Country	:	US
Telephone Number	:	319-272-0284
Fax Number	:

Provider Business Practice Location Address
First Line	:	4102 W 6TH ST STE A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4626
Country	:	US
Telephone Number	:	785-843-0973
Fax Number	:	785-843-1839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/04/2025

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