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

Individual provider Diagnostic Radiology Physician · NPI 1407805161

Dr. Kathleen Justice Kirtek, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from University of Michigan Medical School in 1991, 35 years ago. Practices with Prime Radiology Consultants PC, a 59-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7339
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301057784 (MI)

Record details

NPI number1407805161
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1991 (35 years in practice)
Group practice Prime Radiology Consultants P.C. — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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