Provider Demographics
NPI:1598116014
Name:DUNHAM, KERWIN (DPM)
Entity type:Individual
Prefix:
First Name:KERWIN
Middle Name:
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 W 6TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4626
Mailing Address - Country:US
Mailing Address - Phone:319-272-0284
Mailing Address - Fax:
Practice Address - Street 1:4102 W 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4626
Practice Address - Country:US
Practice Address - Phone:785-843-0973
Practice Address - Fax:785-843-1839
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083028213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery