Kenneth E Dudley (NPI# 1891727244, PAC ID# 7719049485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1891727244 |
PAC ID by PECOS | 7719049485 |
Professional Enrollment ID | I20101102000820 |
Full Name | Kenneth E Dudley |
Organization Legal Name | GRAND RAPIDS FAMILY PHYSICIANS PC |
Address |
1787 Grand Ridge Ct Ne Grand Rapids MI 49525-7042 |
Phone Number | 6167748131 |
Gender | M |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 8022170794 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230059 | SAINT MARY'S HEALTH CARE |
Address | Phone | Organization |
---|---|---|
1787 Grand Ridge Ct Ne, Grand Rapids, MI 49525-7042 | 6167748131 | GRAND RAPIDS FAMILY PHYSICIANS PC |
1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525-7042 | 6167748131 | GRAND RAPIDS FAMILY PHYSICIANS PC |
Organization Legal Name | GRAND RAPIDS FAMILY PHYSICIANS PC |
Physicians | 1 |
Street Address |
1787 GRAND RIDGE CT NE |
City | GRAND RAPIDS |
State | MI |
Zip | 49525-7042 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristine N Tomlinson-miles | Nurse Practitioner | Metropolitan Hospital | 1787 Grand Ridge Ct Ne, 101 Metro Health Grand Rapids Ne, Grand Rapids, MI 49525-7042 |
Stanley Dombroski | Chiropractic | Balanced Health Chiropractic Center | 1787 Grand Ridge Ct Ne, Suite 103, Grand Rapids, MI 49525-7042 |
David O Kutsche | Family Medicine | Metropolitan Hospital | 1787 Grand Ridge Ct Ne, 101 Metro Health Grand Rapids Ne, Grand Rapids, MI 49525-7042 |
Gregory L Hazle | Family Medicine | Metropolitan Hospital | 1787 Grand Ridge Ct Ne, 101 Metro Health Grand Rapids Ne, Grand Rapids, MI 49525-7042 |
Alex D Bylsma | Nurse Practitioner | Metropolitan Hospital | 1787 Grand Ridge Ct Ne, 101 Metro Health Grand Rapids Ne, Grand Rapids, MI 49525-7042 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen A Jacobs | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
Carol A Byrne | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
Amy L Buchanan | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
Anthony W Danko | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
Richard W Rozelle | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
William R Decker | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ne, Grand Rapids, MI 49525-1048 |
Patrick J Meyer | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
Patrick G Holser | Optometry | 5378 Plainfield Ave Ne A, Grand Rapids, MI 49525-1053 | |
Miranda Schmitt | Chiropractic | 5300 Northland Dr Ne F, Growing Family Chiropractic, Grand Rapids, MI 49525-1058 | |
David Joseph Schwarz | Physical Therapy | Dynamic Movement and Recovery | 4950 Plainfield Ave Ne, Suite A, Grand Rapids, MI 49525-1059 |
Find all physicians in zip 49525 |
City | GRAND RAPIDS |
Zip Code | 49525 |
Specialty | FAMILY PRACTICE |
City + Specialty | GRAND RAPIDS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kenneth E Dudley.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.