Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Family Chiropractic, Inc

Organization Chiropractor · NPI 1811975717

Great Lakes Family Chiropractic, Inc is a Chiropractor in Kentwood, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3138 Broadmoor Ave SE
Kentwood, MI 49512-1845
Phone: (616) 241-4040
Fax: (616) 475-6953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301008451 (MI)

Record details

NPI number1811975717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas McKenzie — Dr. Owner · (616) 241-4040
NPI enumeratedJanuary 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3138 Broadmoor Ave Se, Kentwood, MI 49512-1845

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