Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH J FAWCETT JR., MD
ActiveDR. KENNETH J FAWCETT JR., MD is a Internal Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1972507788 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1972507788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.035075933528 yrs)
- Last Updated
- Aug 28, 2014
- Licenses
-
4301054239 (MI)4301054239 (MI)
Practice Information
- Address
-
3271 CLEAR VISTA CT NEGRAND RAPIDS, MI, 495259477Browse MI providers · Browse ZIP 49525
- Phone
- 6163917800
- Fax
- 6163917838
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Pediatrics
Other Internal Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA REILLY LAGRAND | MD | 1215931258 |
| JOSIP DIVIC | MD | 1770587305 |
| ROBERT D. LANG | MD | 1871597377 |
| GERALD LEE | MD | 1265437420 |
| ROBERT K JARVE | MD | 1285639161 |
| DR. JOHN E. HESLIP | M.D. | 1023016466 |
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.