|Active||Over 11 years ago|
|4100 LAKE DR SE
GRAND RAPIDS MI, 49546-8293, US
|100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
|Remove 1053353946 NPI Number|
According to our database, Kenneth D Root PA-C NPI is 1053353946, taxonomy code is 363A00000X and license number is 5601003447, license state is located at Michigan. Kenneth D Root PA-C physically located at 4100 Lake Dr Se, Grand Rapids MI, 49546-8293. NPI Number Kenneth D Root PA-C has the Individual type.
1053353946 NPI number is provided on an as is basis without warranty of any kind. 1053353946 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth D Root PA-C are for informational purposes only.