Individual
KENNETH J EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 LEFFINGWELL NE, STE 100, GRAND RAPIDS, MI 49525
(616) 459-7101
(616) 954-6483
Mailing address
1111 LEFFINGWELL AVE NE, STE 100, GRAND RAPIDS, MI 49525
(616) 459-7101
(616) 954-6483
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301051829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4763007
—
TX
01
—
P00240358
RR MEDICARE
—
Enumeration date
10/10/2005
Last updated
02/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us