Kenneth E Dudley in Grand Rapids - Family Medicine
Kenneth E Dudley - NPI 1891727244
Kenneth E Dudley is a Family Medicine in Grand Rapids, Michigan. Kenneth E Dudley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth E Dudley is 1891727244. The last update date is 2008-12-03.
Kenneth E Dudley's current location address is 1787 Grand Ridge Ct Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6167748131 and fax number 6167748204. The mailing address for Kenneth E Dudley is 1787 Grand Ridge Ct Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Dudley |
|---|---|
| Address | 1787 Grand Ridge Ct Ne, Grand Rapids, Michigan |
| Phone Number | 6167748131 |
| Fax Number | 6167748204 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891727244 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | 1787 Grand Ridge Ct Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6167748131 |
| Fax Number | 6167748204 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301043631 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4553974 | MI | AETNA | |
| 900000696 | MI | PRIORITY HEALTH | |
| 0D17690 | MI | BLUE CROSS BLUE SHIELD | |
| 2957039 | MI | -- |
Post Comment/ Review Below
What is the Kenneth E Dudley's unique identification number?
The Kenneth E Dudley has been assigned the NPI (National Provider Identifier) Number 1891727244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kenneth E Dudley?
The Kenneth E Dudley is physically situated at 1787 Grand Ridge Ct Ne, in the city of Grand Rapids, state of MI, with the postal code 49525.
What is the Kenneth E Dudley's specialty and taxonomy code?
The Kenneth E Dudley's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1891727244 assigned to Kenneth E Dudley?
The Kenneth E Dudley was issued its 1891727244 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kenneth E Dudley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth E Dudley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-03.
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