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KENNETH A BORENITSCH D O P C
NPI 1407120165
General Practice in Manistee, MI

Active since February 28, 2012
1237 E PARKDALE AVE, SUITE 2, MANISTEE, MI 49660(231) 723-8521(231) 398-0478 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth A Borenitsch D O P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH A BORENITSCH D O P C (NPI 1407120165) is a healthcare organization registered as a general practice in Manistee, Michigan and active in the NPI registry since February 2012. The organization lists Kenneth Albert Borenitsch, President, as its authorized official.

NPPES Registry Identity

NPI1407120165
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKENNETH A BORENITSCH D O P C
Location Address1237 E PARKDALE AVE, SUITE 2Manistee, MI 49660-9353
Mailing Address1237 E Parkdale Ave, Suite 2Manistee, MI 49660-9353 · (231) 723-8521 · Fax (231) 398-0478
Phone(231) 723-8521
Fax(231) 398-0478
Organization SubpartNo
Authorized OfficialKenneth Albert BorenitschPresident · (231) 723-8521
Enumeration DateFebruary 28, 2012
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1407120165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101007441
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1237 E PARKDALE AVE, Manistee, MI 49660
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Other Identifiers 3

Medicare UPINB44360
Other015512665Bcbsm
Medicaid1405970MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DONALD DINCAU DDS
Dentist
1237 E PARKDALE AVE, SUITE 1
MANISTEE, MI 49660
Manistee County (231) 723-1178
DR. KENNETH ALBERT BORENITSCH D.O.
General Practice
1237 E PARKDALE AVE, SUITE 2
MANISTEE, MI 49660
Manistee County (231) 723-8521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth A Borenitsch D O P C's NPI number?

The NPI number for Kenneth A Borenitsch D O P C is 1407120165. It was assigned to this organization in the NPPES registry on February 28, 2012.

Where is Kenneth A Borenitsch D O P C located?

Kenneth A Borenitsch D O P C is located at 1237 E Parkdale Ave Suite 2, Manistee, MI 49660. The listed phone number is (231) 723-8521.

What is Kenneth A Borenitsch D O P C's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kenneth A Borenitsch D O P C was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.