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

Dr. Kenneth J Fawcett Jr., MD

Individual provider Internal Medicine Physician · NPI 1972507788

Dr. Kenneth J Fawcett Jr., MD is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
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

3271 Clear Vista Ct NE
Grand Rapids, MI 49525-9477
Phone: (616) 391-7800
Fax: (616) 391-7838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301054239 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301054239 (MI)

Record details

NPI number1972507788
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESAugust 28, 2014

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