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Organization

KSK MEDICAL PLLC

Active
Find providers by NPI
Organization

KSK MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYN M JONES (BUSINESS MANAGER)
(517) 306-2244
Entity
Organization

Contact information

Practice address
6300 WINTER RD, MANITOU BEACH, MI 49253-9634
(517) 306-2244
(866) 465-0269
Mailing address
6300 WINTER RD, MANITOU BEACH, MI 49253-9634
(517) 306-2244
(866) 465-0269

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426860
—
OH
Enumeration date
05/14/2020
Last updated
05/14/2020
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