Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH A WATERSON, PA
ActiveKENNETH A WATERSON, PA is a Surgical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1316255417 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1316255417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2010 (15.915299649681 yrs)
- Last Updated
- Dec 30, 2013
- Licenses
-
5601005898 (MI)5601005898 (MI)
Practice Information
- Address
-
1111 LEFFINGWELL AVE NEGRAND RAPIDS, MI, 495256406Browse MI providers · Browse ZIP 49525
- Phone
- 6164597101
- Fax
- 6164646170
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DENNIS C GREGORY | PAC | 1093702169 |
| MICHAEL LEE BILLS | PA-C | 1366439432 |
| JOSEPH N PIGORSH | PAC | 1043207111 |
| MATTHEW P RICCI | PAC | 1215924386 |
| TIMOTHY J HUNTER | PAC | 1639166697 |
| DAVID M KAMINSKI | PAC | 1164419123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.