Individual
JOHN RAYMOND KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
829 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2325
(616) 224-1515
Mailing address
PO BOX 73, LAKEVIEW, MI 48850-0073
(989) 352-6597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001073
MI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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