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Kenneth A Waterson, PA
Surgical Physician Assistant in Grand Rapids, Michigan
NPI 1316255417

Kenneth A Waterson is a Surgical Physician Assistant based in Grand Rapids, MI and is specialized in Surgical. Kenneth A Waterson practices in Grand Rapids, MI and has the professional credentials of PA. The NPI Number for Kenneth A Waterson is 1316255417 and holds a License No. 5601005898 (Michigan).

The current practice location address for Kenneth A Waterson is 1111 Leffingwell Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-459-7101 and via fax at 616-464-6170.

Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316255417
Provider Name
Kenneth A Waterson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OD14869 01 MI GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1111 Leffingwell Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider Business Mailing Address Details
Address
1111 Leffingwell Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601005898 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5601005898 (Michigan)
Definition
Definition to come...
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