Individual
DR. KRISTI J LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2797 SPRING ARBOR RD, STE. A, JACKSON, MI 49203-3605
(517) 784-0900
(517) 784-7835
Mailing address
2797 SPRING ARBOR RD, STE. A, JACKSON, MI 49203-3605
(517) 784-0900
(517) 784-7835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
KL002092
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114527
AETNA
MI
05
—
1710959127
—
MI
01
—
36740
HEALTH PLAN OF MICHIGAN
MI
01
—
48-5-81-1491-0
BCBS
MI
01
—
P00739357
RAILROAD MEDICARE
MI
Enumeration date
02/02/2006
Last updated
01/14/2021
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