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Contact Information

KENT PATHOLOGY LABORATORY PLLC
2650 HORIZON DR SE
SUITE B
GRAND RAPIDS, MI49546-7519
 Phone: 616-458-1255
 Fax: 616-458-1292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KENT PATHOLOGY LABORATORY PLLC · (Female)

NPI # 1740397124
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 06/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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