KENTWOOD FAMILY PHYSICIANS PC NPI 1598845794

NPI Information

KENTWOOD FAMILY PHYSICIANS PC is a family medicine in Grand Rapids, 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. KENTWOOD FAMILY PHYSICIANS PC NPI is 1598845794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5070 CASCADE RD SE
SUITE 250
GRAND RAPIDS, MI
ZIP 49546-422
Phone: (616) 281-9066
Fax: (616) 281-0539

The provider's authorized official is Bruce M Baker .
The authorized official title is President and has the following contact phone number (616) 281-9066.

The CLIA number assigned to this NPI record is 23D0705261 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/20/2007.

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:

Other Identifiers

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