Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALYSIA ZIMMERMAN, PA-C
DeactivatedKALYSIA ZIMMERMAN, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1912427121 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
This NPI has been deactivated.
The record was deactivated on December 23, 2021.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1912427121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2017 (4.5095890410959 yrs)
- Last Updated
- Feb 8, 2022
- Deactivated
- Dec 23, 2021
- License
-
5601010954
Practice Information
- Address
-
200 JEFFERSON AVE SEGRAND RAPIDS, MI, 495034502Browse MI providers · Browse ZIP 49503
- Phone
- 5174899211
- Primary Specialty
-
Physician Assistant
363A00000X
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.