MRS. MICHELLE K DAVIS M.D.
NPI 1699767053
Family Medicine in Kentwood, MI

Active since August 22, 2005
2120 43RD ST SE, SUITE 200, KENTWOOD, MI 49508(616) 455-4114(616) 455-4454 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Michelle K Davis M.d. NPPES

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

MRS. MICHELLE K DAVIS M.D. (NPI 1699767053) is an individual family medicine provider in Kentwood, Michigan, licensed in Michigan (4301057310) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1699767053
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. MICHELLE K DAVISCredential: M.D.
Location Address2120 43RD ST SE, SUITE 200Kentwood, MI 49508-3772
Mailing Address2120 43rd St Se, Suite 200Kentwood, MI 49508-3772 · (616) 455-4114 · Fax (616) 455-4454
Fax(616) 455-4454
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateFebruary 8, 2018
NPI 1699767053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301057310
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2120 43RD ST SE, Kentwood, MI 49508

Other Identifiers 1

Medicaid4092931MI

Other Providers at the Same Location NPPES 18

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

Allergy & Immunology
2120 43RD ST SE, STE 700
GRAND RAPIDS, MI 49508
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Family Medicine
2120 43RD ST SE, SUITE 200
KENTWOOD, MI 49508
Clinic/Center (Physical Therapy)
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Surgery
2120 43RD ST SE
GRAND RAPIDS, MI 49508
Physician Assistant
2120 43RD ST SE, SUITE 200
KENTWOOD, MI 49508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699767053, enumerated as an "individual" on August 22, 2005.

The provider is located at 2120 43RD ST SE SUITE 200 KENTWOOD, MI 49508 and the phone number is (616) 455-4114.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.