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

Pediatric Associates of Kentwood

Organization Specialist · NPI 1174573471

Pediatric Associates of Kentwood is a Specialist in Kentwood, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4444 Kalamazoo Ave SE Ste 103
Kentwood, MI 49508-4600
Phone: (616) 281-5800
Fax: (616) 281-5495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1174573471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Jokerst — President · 26162815800
NPI enumeratedMay 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600

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