Kenneth J Easton in Grand Rapids - Orthopaedic Surgery Of The Spine
Kenneth J Easton - NPI 1194713669
Kenneth J Easton is a Orthopaedic Surgery Of The Spine in Grand Rapids, Michigan. Kenneth J Easton practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Kenneth J Easton is 1194713669. The last update date is 2013-02-04.
Kenneth J Easton's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6169546483. The mailing address for Kenneth J Easton is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J Easton |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | 6169546483 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194713669 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2013-02-04 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6164597101 |
| Fax Number | 6169546483 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 4301051829 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00240358 | RR MEDICARE | ||
| 4763007 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth J Easton by the Centers for Medicare & Medicaid Services?
The Kenneth J Easton has been assigned the NPI (National Provider Identifier) 1194713669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kenneth J Easton is physically located?
The Kenneth J Easton is situated at the following address: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525.
What is Kenneth J Easton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth J Easton is Orthopaedic Surgery Of The Spine, and the taxonomy code that classifies this field of practice is 207Xs0117X.
On what date was the 1194713669 assigned to Kenneth J Easton?
The Kenneth J Easton was issued its 1194713669 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth J Easton's details last updated?
The information pertaining to the Kenneth J Easton, including its address, specialty, and other details, was most recently updated on 2013-02-04.