Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Great Lakes Family Chiropractic, Inc

Organization Chiropractor · NPI 1811975717

Great Lakes Family Chiropractic, Inc provides Chiropractor services in Kentwood, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3138 Broadmoor Ave SE
Kentwood, MI 49512-1845
Phone: (616) 241-4040
Fax: (616) 475-6953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301008451 (MI)

Record details

NPI number1811975717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas McKenzie — Dr. Owner · (616) 241-4040
NPI enumeratedJanuary 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3138 Broadmoor Ave Se, Kentwood, MI 49512-1845

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