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

Pediatric Associates of Kentwood

Organization Specialist · NPI 1174573471

Pediatric Associates of Kentwood provides Specialist services in Kentwood, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4444 Kalamazoo Ave SE Ste 103
Kentwood, MI 49508-4600
Phone: (616) 281-5800
Fax: (616) 281-5495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1174573471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Jokerst — President · 26162815800
NPI enumeratedMay 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600

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