| Doctor Name: | DR. ADAM LEE KILKENNEY |
| NPI Number: | 1467613158 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 5101017619 |
| Business Practice Address: | 3912 32nd Ave Hudsonville, MI - 494268460 |
| Business Phone Number: | 6162528700 |
| Business Fax Number: | 6162528750 |
| Mailing Address: | 2122 Health Dr Sw, Suite 230 WYOMING |
| State: | MI |
| Postal Code: | 495199698 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2008 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 5101017619 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |