JOHN D KEHL (NPI# 1013023621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013023621 |
| Entity Type | Individual |
| Full Name | JOHN D KEHL |
| Credential | PA |
| Practice Address |
11275 Sprague Rd Delton MI 49046-8493 |
| Practice Telephone | 2696237121 |
| Practice Fax Number | 2696235527 |
| Mailing Telephone | 2696237121 |
| Mailing Fax Number | 2696235527 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601001735 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 371573958 | 01 |
| Street Address |
11275 SPRAGUE RD |
| City | DELTON |
| State | MI |
| Zip Code | 49046-8493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046227 | Pennock Hospital Board of Trustees | Obstetrics & Gynecology | 11275 Sprague Rd, Delton, MI 49046-8493 | 2016-03-23 |
| 1215048384 | Jcr Do Plc | Family Medicine | 11275 Sprague Rd, Delton, MI 49046-8493 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758365 | Delton Family Pharmacy | Pharmacy | 110 Maple St, Delton, MI 49046 | 2006-08-18 |
| 1851409734 | Leo Jon Lanning | Chiropractor | 50 N M37 Hwy Suite B, Hastings, MI 49046-7681 | 2006-08-29 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1720536865 | Jill Degoede | Registered Nurse | 11278 E Shore Dr, Delton, MI 49046-8482 | 2016-09-19 |
| 1568984557 | Diane Marie Dekoster | Home Health Aide | 11657 Scott Park Rd, Delton, MI 49046-8579 | 2017-07-11 |
| 1427593466 | Reliant Home Care, LLC | In Home Supportive Care | 4727 Waldorf Rd, Delton, MI 49046-8632 | 2016-12-29 |
| 1871155077 | Sasha Vanessa Ospina | Social Worker | 8650 Mullen Rd, Delton, MI 49046-8751 | 2019-07-08 |
| 1053714709 | Woodrow Dahl | Specialist/Technologist | 10425 Panther Pride, Delton, MI 49046-8825 | 2014-10-08 |
| 1578089645 | Tyler Koerth | Emergency Medicine | 10425 Panther Pride, Delton, MI 49046-8825 | 2017-08-20 |
| 1124120597 | Joseph C. Roth | Family Medicine | 11320 S. M 43 Hwy, Delton, MI 49046-9259 | 2006-09-05 |
| Find all providers in zip 49046 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922379544 | Boe L Bissett | Physician Assistant | 11320 S M 43 Hwy, Delton, MI 49046-9415 | 2012-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.