Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY K PROVOAST, PA
ActivePhysician Assistant · WEST BRANCH, MI
Registration Details
- NPI Number
- 1770899551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2010 (15.682554734961 yrs)
- Last Updated
- Oct 18, 2012
- License
-
5601005840 (MI)
Practice Information
- Address
-
337 E HOUGHTON AVEWEST BRANCH, MI, 486611127Browse MI providers · Browse ZIP 48661
- Phone
- 9893455240
- Fax
- 9893454513
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST BRANCH, MI
| Name | Credential | NPI |
|---|---|---|
| BARBARA GRAF | PA-C | 1912951955 |
| MRS. AMEY LOU MOEGGENBORG | PA-C | 1457399446 |
| MR. BRIAN DAVID MACAULEY | PA-C | 1295776953 |
| SHAUN M CLARKE | PA-C | 1639187230 |
| LISA MARIE WARACK | PA-C | 1740303205 |
| JEFFERY FILTER | PA-C | 1801175286 |
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.