KENNETH ROOT, PA-C

PA-C

Physician Assistant

NPI: 1053353946IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

5601003447(MI)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2000

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Contact & Hours

Address: 4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Phone: (616) 391-3759

Locations (2)

Practice Location

4100 LAKE DR SE STE 200, GRAND RAPIDS, MI

Practice Location

1179 E PARIS AVE SE STE 150, GRAND RAPIDS, MI

Quick Facts

NPI: 1053353946
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 26

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