Individual
JOSEPH ALLEN KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-7190
(810) 606-7186
Mailing address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-7190
(810) 606-7186
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101007780
MI
208600000X
Surgery Physician
5101007780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230285
HEALTHPLUS OF MI
MI
01
—
1003847
MCLAREN HEALTH ADVANTAGE
MI
01
—
160B511630
BLUE CARE NETWORK
MI
01
—
1652530285
BLUE CROSS BLUE SHIELD MI
MI
01
—
2760703
MOLINA HEATLHCARE
MI
05
—
2760703
—
MI
01
—
382626196
TRICARE HEALTHNET
MI
01
—
4073348
AETNA
MA
01
—
5253028
TRAVELERS
MI
01
—
C2896
MCARE
MI
01
—
CIGNA
CIGNA
MI
01
—
E26094
HEALH ALLIANCE PLAN
MI
01
—
JK007780
BLUE CARE NETWORK
MI
Enumeration date
06/20/2006
Last updated
05/14/2021
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