KENNETH D ROOT

GRAND RAPIDS, MI
NPI1053353946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003447)
Enumeration Date2006-06-12
Last Update Date2026-05-14
Business Address
KENNETH D ROOT PA-C
1179 E PARIS AVE SE STE 150
GRAND RAPIDS, MI 49546-8373
Phone number: 616-455-9450
Mailing Address
KENNETH D ROOT PA-C
1179 E PARIS AVE SE STE 150
GRAND RAPIDS, MI 49546-8373
Phone number: 616-455-9450
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