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Contact Information

KEITH B JAVERY, DO
710 KENMOOR AVE SE
SUITE 200
GRAND RAPIDS, MI49546-2379
 Phone: 616-588-7246
 Fax: 616-588-7086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KEITH B JAVERY · (Male)

NPI Number 1891892402
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/19/2006
Last updated 05/27/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101012927
  • MI Medicaid 1164664082
Hospital affiliation(s)
  • METRO HEALTH HOSPITAL - (Acute Care)
    5900 BYRON CENTER AVENUE, SW
    WYOMING, MI 49519
  • SAINT MARY'S HEALTH CARE - (Acute Care)
    200 JEFFERSON AVENUE SE
    GRAND RAPIDS, MI 49503
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
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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