Agerson, Kirk Joseph
Agerson, Kirk Joseph is an individual health care provider with primary practice located at 2849 Michigan St Ne Suite 102, Grand Rapids MI 49506-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Agerson, Kirk Joseph can be contacted via phone (616) 285-6450.Contact Information
Primary practice address
2849 Michigan St Ne Suite 102
Grand Rapids MI 49506-1216
Phone: (616) 285-6450
Fax: (616) 285-6455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301041396 | Michigan |
Profile Details
| NPI number | 1245226380 |
|---|---|
| LBN Legal business name | Agerson, Kirk Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245226380 | NPPES |
| Michigan | Other | 0804100171 | BLUE CROSS BLUE SHIELD |
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