Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYRIE HEYDENBURG, PA
ActiveKYRIE HEYDENBURG, PA is a Surgical Physician Assistant healthcare provider located in LANSING, Michigan. NPI 1144995697 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LANSING, MI
Registration Details
- NPI Number
- 1144995697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2021 (5.0209217808666 yrs)
- Last Updated
- Feb 13, 2025
- Licenses
-
60068 (CA)60068 (CA)5601012432 (MI)
Practice Information
- Address
-
1215 E MICHIGAN AVELANSING, MI, 489121811Browse MI providers · Browse ZIP 48912
- Phone
- 5173642616
- Fax
- 5173643525
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| FREDERICK P MOLLENKOPF JR. | PA | 1689673311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.