Individual
MEREDITH KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
555 MIDTOWNE ST NE, SUITE 110, GRAND RAPIDS, MI 49503-5729
(616) 588-8880
(616) 588-8881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-002759
IL
363AM0700X
Medical Physician Assistant
Primary
5601005209
MI
Other
Enumeration date
05/29/2007
Last updated
04/05/2017
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