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
—
—
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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