Healthcare Provider Details

I. General information

NPI: 1487452017
Provider Name (Legal Business Name): INTEGRITY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 N PAW PAW ST
LAWRENCE MI
49064-9317
US

IV. Provider business mailing address

119 N PAW PAW ST
LAWRENCE MI
49064-9317
US

V. Phone/Fax

Practice location:
  • Phone: 269-241-2220
  • Fax: 269-219-2554
Mailing address:
  • Phone: 269-241-2220
  • Fax: 260-210-2554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN FERRELL
Title or Position: PRACTICE OWNER/ PROVIDER
Credential: PA-C
Phone: 517-898-7718