Individual
BENJAMIN ADAM KENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, LBA
Contact information
Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 267-2830
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016091
MI
Other
Enumeration date
12/12/2014
Last updated
04/18/2025
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