Kent Pathologists PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KENT PATHOLOGISTS PLLC

Practice address

200 Jefferson SE
St Marys Health Service Pathology Dept
Grand Rapids, MI 49503-4502

Phone

(616) 774-0209

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Won Kyu Lee, MD

Title

Medical Director Member

Phone

(616) 774-0209

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1194774729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 HORIZON DR SE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON SE",
            "address_2": "ST MARYS HEALTH SERVICE PATHOLOGY DEPT",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-774-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PATHOLOGISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR MEMBER",
        "authorized_official_telephone_number": "616-774-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Family Dental Care
• Kent Integrated Health Network PLLC
• Kent Intermediate School District
• Kent Neurological Associates PC
• Kent Otolaryngology Associates, P.C.
• Kent Pathology Laboratory PLLC
• Kent Pathology Laboratory PLLC
• Kent Podiatry
• Kent R Wildern DDS PC
• Kent Radiology PC

• Anatomic Pathology & Clinical Pathology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.