Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN GUGGEMOS
DeactivatedKEVIN GUGGEMOS is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1578178919 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
This NPI has been deactivated.
The record was deactivated on January 12, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1578178919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2020 (3.3333333333333 yrs)
- Last Updated
- Nov 13, 2024
- Deactivated
- Jan 12, 2024
- License
-
5601012773 (MI)
Practice Information
- Address
-
1490 E BELTLINE AVE SEGRAND RAPIDS, MI, 495064336Browse MI providers · Browse ZIP 49506
- Phone
- 2486726408
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE S JOHANSON | P.A.-C | 1952304982 |
| RENEE K SALYER | P.A-C | 1760481386 |
| MR. JOHN C HENDRICKS | PA-C | 1992705610 |
| CHERYL ANN SCHMITT | PA-C | 1851391031 |
| LARA ELIZABETH EVANS | PA-C | 1356343933 |
| BENJAMIN P LOYD | PA-C | 1174515167 |
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.