Kenneth D Root PA-C

  • NPI 1053353946
According to our database, the NPI number for Kenneth D Root PA-C is 1053353946 and activated since 17 years ago. Kenneth D Root PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546. You can also contact Kenneth D Root PA-C via telephone number is (616) 391-3759. Provider NPI information was last updated on 08/15/2017.

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Overview of Kenneth D Root PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/12/2006
  • Last updated: 08/15/2017

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601003447
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc 845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4100 Lake Dr Se Ste 200
    Grand Rapids, MI 49546
  • Phone: 616-391-3759
  • Fax: 616-391-3052

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601003447
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth D Root PA-C?
  • A: The npi number for Kenneth D Root PA-C is 1053353946.
  • Q: What are Kenneth D Root PA-C's specialties?
  • A: Kenneth D Root PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kenneth D Root PA-C?
  • A: The medical license number for Kenneth D Root PA-C is 5601003447 and issued in MI in USA.
  • Q: Where is Kenneth D Root PA-C practice location?
  • A: Kenneth D Root PA-C is practicing at 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546.
  • Q: How to contact Kenneth D Root PA-C?
  • A: You can contact Kenneth D Root PA-C via 616-391-3759.
Medicare Specialty
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