Individual
DR. KENNETH PAUL DOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14211 WHITE CREEK AVE NE, CEDAR SPRINGS, MI 49319-8168
(616) 252-6320
(616) 252-6360
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101020409
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101020409
MI
Other
Enumeration date
06/19/2013
Last updated
03/17/2018
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