DR. KENNETH ALBERT BORENITSCH D.O. NPI 1992852685

NPI Information

  • NPI: 1992852685
  • Provider Name: DR. KENNETH ALBERT BORENITSCH, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1237 E PARKDALE AVE
    SUITE 2
    MANISTEE, MI
    ZIP 49660
  • Phone: (231) 723-8521

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NPI Details

DR. Kenneth Albert Borenitsch, D.O. is a general practice in Manistee, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Kenneth Albert Borenitsch, D.O. NPI is 1992852685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1237 E PARKDALE AVE
SUITE 2
MANISTEE, MI
ZIP 49660-353
Phone: (231) 723-8521
Fax: (231) 398-0478

The enumeration date for this NPI number is 1/4/2007 and was last updated on 2/27/2014.

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
1208D00000XGeneral Practice5101007441MICHIGANYes

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
1015512665OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MI
21405970MEDICAIDMICHIGAN
3B44360MEDICARE UPIN

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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