Search › Michigan › 183500000X
Carol Kenworthy
NPI 1194135806 · on the registry since 2014
Practice
- Address
- 3757 Plainfield Ave Ne
Grand Rapids, MI 49525 - Phone
- (616) 364-9497
- Organisation at this address
- Meijer Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan