Individual
DR. KENNA LASKOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8333 FELCH ST STE 202, ZEELAND, MI 49464-2609
(616) 748-2850
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101027287
MI
208600000X
Surgery Physician
5315092694
MI
Other
Enumeration date
06/07/2018
Last updated
08/04/2023
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