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Organization

KENT PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY KUKAWSKI (OFFICE MANAGER)
(616) 784-9400
Entity
Organization

Contact information

Practice address
4735 WEST RIVER DR., COMSTOCK PARK, MI 49321
(616) 784-9400
Mailing address
4735 WEST RIVER DR., COMSTOCK PARK, MI 49321
(616) 784-9400

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MI

Other

Enumeration date
10/05/2006
Last updated
07/22/2015
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