MRS. KELLY JEAN BULK (NPI# 1033144340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033144340 |
| Entity Type | Individual |
| Full Name | MRS. KELLY JEAN BULK |
| Other Name | MS. KELLY JEAN WATSON |
| Credential | PA-C |
| Practice Address |
11 N Maple Grant MI 49327 |
| Mailing Address |
11 N Maple St Po Box 7 Grant MI 49327-7900 |
| Practice Telephone | 2318340444 |
| Practice Fax Number | 2318340200 |
| Mailing Telephone | 2318340444 |
| Mailing Fax Number | 2318340200 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004124 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11 N MAPLE |
| City | GRANT |
| State | MI |
| Zip Code | 49327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366563 | Michael G Nichols | Dentist | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1932121852 | Roderick W Stepter | Dentist | 11 N Maple, Box 7, Grant, MI 49327 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1396096004 | Nicole A Parrott | Nurse Practitioner | 96 E 120th St, Grant, MI 49327 | 2012-09-21 |
| 1740431832 | Gerald Van Wieren, M.d., P.C. | Internal Medicine | 71 S Front St, Grant, MI 49327 | 2008-10-07 |
| 1992928204 | Michael John Vokits | Pharmacist | 53 S. Maple, Grant, MI 49327-0125 | 2007-04-11 |
| 1134761968 | Amanda Ludlow | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2019-10-14 |
| 1548773377 | Abrielle Kay Lamphere | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2017-11-15 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1669844122 | Debbie Symon | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1780056259 | Amy Loper | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1104219260 | Kristyn Heins | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2015-03-13 |
| Find all providers in zip 49327 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914650 | Robert Poehl | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-06-27 |
| 1821066705 | Traci E Draucker | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2006-03-08 |
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1083252530 | Shannon Liewer | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2019-12-16 |
| 1639648579 | Breanna Marie Manchip | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2018-11-21 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1801169404 | Lindsey Marie Hunter | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2012-02-14 |
| 1205164852 | Gerard Paul Miklosi | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2009-11-19 |
| 1598823528 | Carol S. Cornelius | Physician Assistant | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-12-04 |
| 1629099619 | Wendy R Alvesteffer | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-07-22 |
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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.