Individual provider · Type 1 NPI

Kennedy Payton Van Dyke

Occupational Therapist · Kalamazoo, MI

NPI number 1902702228 Active

Practice location

1903 W Michigan Ave
Kalamazoo, MI 49008-5200

Mailing address

1209 Banbury Rd
Kalamazoo, MI 49001-4910

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1902702228

Kennedy Payton Van Dyke's National Provider Identifier is 1902702228, issued on Oct 14, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Oct 14, 2026.