Doctor profile · Federal record
Dr. Kenneth Crockett, PA-C
Medical Physician Assistant · Petoskey, MI
- NPI 1053338830
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1890 S US Highway 131, Suite 4
Petoskey, MI 497708344
(231) 487-2000
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- April 18, 2008
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Michigan #5601001028
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053338830. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$38
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 2 | $38.14 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Crockett's medical specialty?
Dr. Kenneth Crockett practices Medical Physician Assistant in Petoskey, MI.
Where does Dr. Kenneth Crockett practice?
Dr. Kenneth Crockett practices at 1890 S US Highway 131, Petoskey, MI 497708344. Office phone: 2314872000.
What is Dr. Kenneth Crockett's NPI?
Dr. Kenneth Crockett's National Provider Identifier (NPI) is 1053338830, issued by NPPES.