Kenton Wadsworth LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

KENTON WADSWORTH LLC

Practice address

44150 W 12 Mile Rd Ste 300
Novi, MI 48377-2649

Phone

(248) 946-4755

NPI assigned

Mar 30, 2019

Last updated

Mar 30, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenton Wadsworth

Title

President

Phone

(248) 946-4755

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553904000000",
    "number": "1184185159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44150 W 12 MILE RD STE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772649",
            "telephone_number": "248-946-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 W 12 MILE RD STE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772649",
            "telephone_number": "248-946-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON WADSWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-03-30",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "KENTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-946-4755"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Aubrey Kennedy
• Melisa Kennedy
• Lilac Kenner
• Antoinette Kenneth
• Heavan Kenney
• Kent Kerby
• Stephanie Keresi
• Nicole Kerns
• Sara Kerrick
• Susan Kerstetter

• Acupuncturist in Novi, MI
• Providers in Novi, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.