KENNETH E DUDLEY MD
NPI 1891727244
Family Medicine in Grand Rapids, MI

Q: What is Kenneth Dudley's NPI number?

The NPI number for Kenneth Dudley is 1891727244. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Kenneth Dudley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Dudley was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 07, 2006

1787 GRAND RIDGE CT NE, SUITE 101, GRAND RAPIDS, MI 49525(616) 774-8131(616) 774-8204 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth E Dudley Md NPPES

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

KENNETH E DUDLEY MD (NPI 1891727244) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301043631) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1891727244

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH E DUDLEYCredential: MD

Location Address1787 GRAND RIDGE CT NE, SUITE 101Grand Rapids, MI 49525

Mailing Address1787 Grand Ridge Ct Ne, Suite 101Grand Rapids, MI 49525 · (616) 774-8131 · Fax (616) 774-8204

Phone(616) 774-8131

Fax(616) 774-8204

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateDecember 3, 2008

✔ NPI 1891727244 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 · 4301043631

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.

1787 GRAND RIDGE CT NE, Grand Rapids, MI 49525

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Other Identifiers 6

Medicare ID-Type Unspecified0D1769004

Other0D17690MI · Blue Cross Blue Shield

Other900000696MI · Priority Health

Medicaid2957039MI

Other0004553974MI · Aetna

Medicare UPINB43215MI

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.

GERON D TURKE DO

Obstetrics & Gynecology

1787 GRAND RIDGE CT NE, SUITE 201
GRAND RAPIDS, MI 49525

Kent County (616) 913-8601

MRS. RACHEL SPORTEL NP

Family Medicine

1787 GRAND RIDGE CT NE, SUITE 101
GRAND RAPIDS, MI 49525

Kent County (616) 774-8131

DAVID O KUTSCHE MD

Family Medicine

1787 GRAND RIDGE CT NE, SUITE 101
GRAND RAPIDS, MI 49525

Kent County (616) 774-8131

JULIE COOPER NP

Nurse Practitioner

1787 GRAND RIDGE CT NE, SUITE 101
GRAND RAPIDS, MI 49525

Kent County (616) 774-8131

GRAND RAPIDS FAMILY PHYSICIANS PC

Family Medicine

1787 GRAND RIDGE CT NE, SUITE 101
GRAND RAPIDS, MI 49525

Kent County (616) 774-8131

SHAHNAZ ALI, M.D. PLLC

Internal Medicine

1787 GRAND RIDGE CT NE, STE 202
GRAND RAPIDS, MI 49525

Kent County (616) 808-2695

LISA M SMITH DC LLC

Chiropractor

1787 GRAND RIDGE CT NE, SUITE 103
GRAND RAPIDS, MI 49525

Kent County (616) 551-5433

ADVANCED AGE MANAGEMENT PLLC

Clinic/Center (Primary Care)

1787 GRAND RIDGE CT NE, SUITE 202
GRAND RAPIDS, MI 49525

Kent County (616) 808-2695

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 Dudley's NPI number?

The NPI number for Kenneth Dudley is 1891727244. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kenneth Dudley located?

Kenneth Dudley practices at 1787 Grand Ridge Ct NE Suite 101, Grand Rapids, MI 49525. The listed phone number is (616) 774-8131.

What is Kenneth Dudley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Dudley was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.