KENNETH ROOT, PA-C
Physician Assistant
Active
Individual
NPI: 1053353946
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601003447 (MI) |
Frequently Asked Questions
NPI 1053353946 is the National Provider Identifier for KENNETH ROOT, PA-C, a Physician Assistant provider located in Grand Rapids, MI. This NPI was enumerated on June 12, 2006.
KENNETH ROOT, PA-C practices at 4100 LAKE DR SE STE 200, Grand Rapids, MI 49546.
Quick Facts
- NPI
- 1053353946
- Type
- Individual
- Enumerated
- Jun 12, 2006
- Last Updated
- Aug 15, 2017
Nearby Providers
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MR. THOMAS MAGNIFICO, RPH
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MRS. JACQUELINE JOHANSON, P.A.-C
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DR. MARY STEVENS, D.D.S
Dentist - General Practice
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CYNTHIA SALTER, M.A. CCC-SLP
Speech-Language Pathologist
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LINDSEY KRUEGER
Nurse Anesthetist, Certified Registered