KENNETH EARL KRATZER NPI 1174705933

NPI Information

  • NPI: 1174705933
  • Provider Name: KENNETH EARL KRATZER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FENNVILLE FAMILY MEDICINE
  • Address: 200 NORTH MAPLE STREET
    FENNVILLE, MI
    ZIP 49408
  • Phone: (269) 561-8761

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NPI Details

KENNETH EARL KRATZER is a family medicine in Fennville, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENNETH EARL KRATZER NPI is 1174705933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fennville Family Medicine.

The provider's business location address is:

200 NORTH MAPLE STREET
FENNVILLE, MI
ZIP 49408-664
Phone: (269) 561-8761
Fax: (269) 561-6040

The provider's authorized official is Kenneth Earl Kratzer .
The authorized official title is President and has the following contact phone number (269) 561-8761.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111035922MEDICAIDMICHIGAN
2E31532MEDICARE UPINMICHIGAN
3P21280MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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