Kessenich, Jeri W

Kessenich, Jeri W is an individual health care provider with primary practice located at 100 Michigan St Ne Room 280, Grand Rapids MI 49503-2560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kessenich, Jeri W can be contacted via phone (616) 267-0115.

Contact Information

Primary practice address
100 Michigan St Ne Room 280 Grand Rapids MI 49503-2560
Phone: (616) 267-0115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301048991 Michigan

Profile Details

NPI number 1386624633
LBN Legal business name Kessenich, Jeri W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386624633 NPPES
Michigan MEDICAID 3138473
Michigan Other 3504104761

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