KIMBERLY MCGOWAN (NPI# 1710063813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710063813 |
| Entity Type | Individual |
| Full Name | KIMBERLY MCGOWAN |
| Other Name | KIMBERLY WILLIAMS |
| Credential | LLP |
| Practice Address |
5990 Venture Park Dr Kalamazoo MI 49009-1858 |
| Practice Telephone | 2695321470 |
| Practice Fax Number | 2695321472 |
| Mailing Telephone | 2695321470 |
| Mailing Fax Number | 2695321472 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6361005107 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165381 | Kimberly Mcgowan | In Home Supportive Care | 36 Getaway Ln Apt 2, Hattiesburg, MS 39402-7661 | 2017-03-21 |
| 1053711630 | Kimberly Mcgowan | Counselor | 460 Town Plaza Ave Ste 260, Ponte Vedra, FL 32081-5139 | 2014-09-02 |
| 1831148683 | Kimberly K Mcgowan | Obstetrics & Gynecology | 1800 Medical Center Pkwy, Suite 350, Murfreesboro, TN 37129-2567 | 2006-05-09 |
| Street Address |
5990 VENTURE PARK DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117945 | Brooke Marie Kramer | Speech-Language Pathologist | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2020-06-03 |
| 1811518707 | Xavyer Williams | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2020-05-01 |
| 1467081984 | Eunique Felicia Glover | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2020-04-06 |
| 1578198958 | Carolyn Monique Devries | Occupational Therapist | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2020-03-06 |
| 1760023253 | Janelle Engle | Physical Therapy Assistant | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-10-05 |
| 1871146209 | Ellie Anne Grupenhoff | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-07-24 |
| 1164083077 | Samantha Jane Durant | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-06-23 |
| 1538726476 | Rebekah Kay Rainwater | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-05-27 |
| 1932668357 | Jenna Taylor | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-03-15 |
| 1437614500 | Cassandra Lyn Frank | Technician | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340817 | Millicent Marie Perkins | Psychologist | 9177 W R Ave, Kalamazoo, MI 49009-9740 | 2019-01-23 |
| 1437644945 | Christopher Andre' Briggs | Psychologist | 5182 N Peak St, Kalamazoo, MI 49004-2149 | 2018-06-27 |
| 1922468123 | Margaret Hunter | Psychologist | 2524 Lomond Dr, Kalamazoo, MI 49008-2126 | 2016-03-01 |
| 1972902856 | Craig Crawford | Psychologist | 8566 Old Stone Cir, Kalamazoo, MI 49009-4535 | 2014-08-18 |
| 1497188049 | Erica Christoff | Psychologist | 4341 S Westnedge Ave Ste 1201, Kalamazoo, MI 49008-3284 | 2013-08-19 |
| 1265776629 | Julie Meredith Davis | Psychologist | 5985 W Main St Ste 101, Kalamazoo, MI 49009 | 2012-11-23 |
| 1033498993 | Laurie L. Assadi | Psychologist | 4341 South Westnedge, Suite 2101, Kalamazoo, MI 49008-3286 | 2011-08-10 |
| 1538322771 | Alan Hill | Psychologist | 2416 Benton Avenue, Kalamazoo, MI 49008 | 2008-07-08 |
| 1912174715 | Thomas Ray Holmes | Psychologist | 2923 Memory Ln, Kalamazoo, MI 49006-5534 | 2008-05-12 |
| 1922278290 | Charles T. Glatt | Psychologist | 3040 Wellington Rd, Kalamazoo, MI 49008-2141 | 2008-03-03 |
| Find all providers in KALAMAZOO | ||||
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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.