Organization
KENT NEUROLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIDERIO FRANDA INES MD (OWNER)
(616) 454-9246
Entity
Organization
Contact information
Practice address
3200 EAGLE PARK DR NE STE 108, GRAND RAPIDS, MI 49525-7057
(616) 454-9246
(616) 970-6068
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 454-9246
(616) 970-6068
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
11/19/2018
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