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Individual
BARBARA ANN KISH
Active
Individual
BARBARA ANN KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704156952
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100
COMMUNITY CHOICE
MI
01
—
1010614
MCLAREN HEALTH PLAN
—
01
—
105431
GREAT LAKES HEALTH PLAN
—
05
—
1902894769
—
MI
01
—
2976876
MOLINA HEALTH CARE
MI
01
—
381908328
TRICARE
—
01
—
500023635
RAILROAD MEDICARE
—
01
—
500G310570
BCBS
MI
Enumeration date
10/06/2005
Last updated
04/09/2021
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