Individual
DR. TIFFANY LAUREN KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
4070 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8294
(616) 888-2948
(616) 888-2949
Mailing address
4070 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8294
(616) 888-2948
(616) 888-2949
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2012011148
MO
207W00000X
Ophthalmology Physician
4301092933
MI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
036134962
IL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2012011148
MO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
4301092933
MI
Other
Enumeration date
07/11/2008
Last updated
09/06/2022
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