KENTON LEE WATERBROOK DO
NPI 1750377966
Orthopaedic Surgery in Lansing, MI

Active since September 22, 2005
3370 E JOLLY RD, LANSING, MI 48910(517) 487-3717(517) 487-3472 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenton Lee Waterbrook Do NPPES

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

KENTON LEE WATERBROOK DO (NPI 1750377966) is an individual orthopaedic surgery provider in Lansing, Michigan, licensed in Michigan (KW008742) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1750377966
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKENTON LEE WATERBROOKCredential: DO
Location Address3370 E JOLLY RDLansing, MI 48910-8552
Mailing Address3370 E Jolly RdLansing, MI 48910-8552 · (517) 487-3717 · Fax (517) 487-3472
Fax(517) 487-3472
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateAugust 12, 2011
NPI 1750377966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · KW008742
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3370 E JOLLY RD, Lansing, MI 48910

Other Identifiers 3

Medicare UPINF22786
Medicare PIN0C36068003MI
Medicaid1912972MI

Other Providers at the Same Location NPPES 14

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

Physical Therapist
3370 E JOLLY RD, SUITE B
LANSING, MI 48910
Occupational Therapist
3370 E JOLLY RD, STE B
LANSING, MI 48910
Physical Therapy Assistant
3370 E JOLLY RD, SUITE B
LANSING, MI 48910
Physical Therapist
3370 E JOLLY RD
LANSING, MI 48910
Occupational Therapist
3370 E JOLLY RD
LANSING, MI 48910
Respite Care
3370 E JOLLY RD
LANSING, MI 48910
Clinic/Center (Multi-Specialty)
3370 E JOLLY RD
LANSING, MI 48910
Specialist
3370 E JOLLY RD, STE B
LANSING, MI 48910

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 Kenton Waterbrook's NPI number?

The NPI number for Kenton Waterbrook is 1750377966. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Kenton Waterbrook located?

Kenton Waterbrook practices at 3370 E Jolly Rd, Lansing, MI 48910. The listed phone number is (517) 487-3717.

What is Kenton Waterbrook's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Kenton Waterbrook was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.