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

John Raymond Kearney, PAC

Individual provider Medical Physician Assistant · NPI 1518016930

John Raymond Kearney, PAC is a Medical Physician Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

829 Forest Hill Ave SE
Grand Rapids, MI 49546-2325
Phone: (616) 224-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601001073 (MI)

Record details

NPI number1518016930
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 73, Lakeview, MI 48850-0073

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