Fawcett, Kenneth J
Fawcett, Kenneth J is an individual health care provider with primary practice located at 3271 Clear Vista Ct Ne , Grand Rapids MI 49525-9477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fawcett, Kenneth J can be contacted via phone (616) 391-7800.Contact Information
Primary practice address
3271 Clear Vista Ct Ne
Grand Rapids MI 49525-9477
Phone: (616) 391-7800
Fax: (616) 391-7838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301054239 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301054239 | Michigan |
Profile Details
| NPI number | 1972507788 |
|---|---|
| LBN Legal business name | Fawcett, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Aug 28th, 2014 - about 12 years 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 | 1972507788 | NPPES |
| Michigan | Other | 0N10270003 | MEDICARE GROUP |
| Michigan | MEDICAID | 4199704 | MEDICARE GROUP |
Popular Providers
-
Podgorica, Zamir Gani
1840 Wealthy St Se Mc 426, Grand Rapids MI 49506-2921 -
Divic, Josip
100 Michigan St Ne A721, Grand Rapids MI 49503-2560 -
Evenhouse, Mark A
100 Michigan St Ne , Grand Rapids MI 49503-2560 -
Courts, Jayne Ellen
200 Jefferson Ave Se , Grand Rapids MI 49503-4502 -
Foster, Thomas B
2373 64Th St Sw Ste 1300, Grand Rapids MI 49315 -
Bhatnagar, Piyush
1959 E Paris Ave Se , Grand Rapids MI 49546-6272 -
Jarve, Robert K
75 Sheldon Ave Se Ste 101 , Grand Rapids MI 49503-4224 -
Lang, Robert D.
1000 E Paris Ave Se Ste 100 , Grand Rapids MI 49546