Organization
PEDIATRIC ASSOCIATES OF KENTWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R JOKERST MD (PRESIDENT)
26162815800
Entity
Organization
Contact information
Practice address
4444 KALAMAZOO AVE SE, SUITE 103, KENTWOOD, MI 49508-4600
(616) 281-5800
(616) 281-5495
Mailing address
4444 KALAMAZOO AVE SE, SUITE 103, KENTWOOD, MI 49508-4600
(616) 281-5800
(616) 281-5495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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