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

Kristen Deam, PA-C

Individual provider Physician Assistant · NPI 1063803377

Kristen Deam, PA-C is a Physician Assistant in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4466 Heritage Ct SW
Grandville, MI 49418-2383
Phone: (616) 301-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5601007300 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1063803377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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