Kenneth Llewellyn Chambers III

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

17134 Lorain Ave
Cleveland, OH 44111-5515

Phone

(216) 242-6366

NPI assigned

Jul 13, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1760054456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 E IDLEWOOD DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871684",
            "telephone_number": "440-789-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17134 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115515",
            "telephone_number": "216-242-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KENNETH",
        "middle_name": "LLEWELLYN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "1760054456",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "1760054456",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliscia Chambers
• Ivy Trinell Chambers, PHYSICAL THERAPIST
• Jamesetta G Chambers
• Kelly Chambers, OTR/L
• Kelly Chambers, MD
• Lanicha L Chambers, MFTT
• Morgan Chambers, PHARMD
• Ryan Bennett Chambers, AGACNP-BC
• Tisha Chambers
• Trajen Chambers

• Prosthetist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Prosthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.