KENNETH A KRAJEWSKI


Address: 1534 Groton Rd Se, Grand Rapids, MI 49506-4754
Phone: 6166855600

KENNETH A KRAJEWSKI (NPI# 1154585172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154585172
Entity Type Individual
Full Name KENNETH A KRAJEWSKI
Credential M.D.
Practice Address 1534 Groton Rd Se
Grand Rapids
MI 49506-4754
Practice Telephone 6166855600
Enumeration Date 2008-07-18
Last Update Date 2019-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4301104456 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1534 GROTON RD SE
City GRAND RAPIDS
State MI
Zip Code 49506-4754

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1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568641074 Frances Ying-nok Wong Internal Medicine 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 2007-10-31
1790727360 Anas Al-janadi Internal Medicine 145 Michigan St Ne Ste 5200, Grand Rapids, MI 49503-2565 2006-06-11
1639179286 Thomas E Gribbin Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2005-07-26
1003235391 Andrew Leo Sochacki Internal Medicine 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 2014-04-15
1952720906 Haritha Ganesh Reddy Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2014-04-07
1952677031 Erin Lee Schwab Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2012-03-22
1003101429 Erin Megan Pettijohn Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2011-06-14
1174700256 Eric C. Santos Internal Medicine 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 2008-01-30
1972705838 Sreenivasa Chandana Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2007-06-04
1194934802 Latha Sree Polavaram Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2007-05-21
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Competitor

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City GRAND RAPIDS
Zip Code 49506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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