Provider Demographics
NPI:1073591467
Name:LAWS, KENNETH H (MD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:H
Last Name:LAWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 CHURCH ST.
Mailing Address - Street 2:SUITE 626
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2074
Mailing Address - Country:US
Mailing Address - Phone:615-329-7878
Mailing Address - Fax:615-329-7899
Practice Address - Street 1:2010 CHURCH ST.
Practice Address - Street 2:SUITE 626
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2074
Practice Address - Country:US
Practice Address - Phone:615-329-7878
Practice Address - Fax:615-329-7899
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13062174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3013524Medicare ID - Type Unspecified
TNA97755Medicare UPIN