| Doctor Name: | DR. KENNETH LUX |
| NPI Number: | 1134270598 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PS211 |
| Business Practice Address: | 2101 Dutch Fork Rd Chapin, SC - 290367576 |
| Business Phone Number: | 9107429243 |
| Business Fax Number: | 8887461787 |
| Mailing Address: | Po Box 16310, WILMINGTON |
| State: | NC |
| Postal Code: | 284086310 |
| Phone Number: | 9107429243 |
| Fax Number: | 8887461787 |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS211 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |