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JOHN RAYMOND KEARNEY PAC
NPI 1518016930
Physician Assistant - Medical in Grand Rapids, MI

Active since January 09, 2007
829 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546(616) 224-1515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Raymond Kearney Pac NPPES

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

JOHN RAYMOND KEARNEY PAC (NPI 1518016930) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601001073) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518016930
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN RAYMOND KEARNEYCredential: PAC
Location Address829 FOREST HILL AVE SEGrand Rapids, MI 49546-2325
Mailing AddressPo Box 73Lakeview, MI 48850-0073 · (989) 352-6597
Phone(616) 224-1515
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518016930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601001073
829 FOREST HILL AVE SE, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 5

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

JEHRICOLE OLENZUK
Psychologist (Exercise & Sports)
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-2410
MISS HEATHER ELIZABETH BOGETTA R.D.
Nutritionist (Nutrition, Education)
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-9944
MS. TERRI LYNN EUDY MA
Health Educator
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-2410
MRS. STACIA LISA FORD-SPICER M.S.W.
Social Worker (Clinical)
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 581-6592
BROOKE ANNE DEBECK RD
Dietitian, Registered
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-2410

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 John Kearney's NPI number?

The NPI number for John Kearney is 1518016930. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is John Kearney located?

John Kearney practices at 829 Forest Hill Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 224-1515.

What is John Kearney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Kearney was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.