Organization
JOSEPH A. KINGSBURY, D.O.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALLEN KINGSBURY D. O. (PRESIDENT)
(810) 606-7190
Entity
Organization
Contact information
Practice address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-2560
(810) 606-7190
(810) 606-7186
Mailing address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-2560
(810) 606-7190
(810) 606-7186
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01003097
HEALTHPLUS OF MI
MI
01
—
0230285
HEALTH PLUS OF MICHIGAN
MI
01
—
160B511630
BLUE CROSS BLUE SHIELD MI
MI
01
—
160B511630
BLUE CARE NETWORK
—
01
—
1652511805
BCBS
MI
01
—
1652530285
BCBS
MI
01
—
1761231
CIGNA
MI
01
—
2760703
MOLINA
MI
05
—
2760703
—
MI
01
—
4073348
AETNA
—
05
—
4928770
—
MI
01
—
C2896
MCARE
MI
01
—
E26094
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/09/2006
Last updated
05/14/2008
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