Kimberly K Provoast
MCLAREN PRIMARY CARE


Address: 2110 S M, 76 Suite 6, West Branch, MI 48661-8737
Phone: 9893451184

Kimberly K Provoast (NPI# 1770899551, PAC ID# 4981888476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1770899551
PAC ID by PECOS 4981888476
Professional Enrollment ID I20110407000241
Full Name Kimberly K Provoast
Organization Legal Name MCLAREN PRIMARY CARE
Address 2110 S M
76 Suite 6
West Branch
MI 48661-8737
Phone Number 9893451184
Gender F
Graduation Year 2010
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1850327487
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230041 MCLAREN BAY REGION
230095 WEST BRANCH REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2110 S M, 76 Suite 6, West Branch, MI 48661-8737 9893451184 MCLAREN PRIMARY CARE

Organization Information

Organization Legal Name MCLAREN PRIMARY CARE
Physicians 14

Physicians with the same organization

Name Specialty Organization Address
Rachel L Vanwormer Nurse Practitioner Mclaren Primary Care 2990 Campbell Rd, Rose City, MI 48654-9724
Deborah L Richardson Nurse Practitioner Mclaren Primary Care 5170 Rifle River Trl, Alger, MI 48610-9343
Tamyra A Henigan Nurse Practitioner Mclaren Primary Care 558 Lockwood Ln, Mio, MI 48647-9387
Theodore A Bash Family Medicine Mclaren Primary Care 2990 Campbell Rd, Rose City, MI 48654-9724
Jessica R Bennett Nurse Practitioner Mclaren Primary Care 2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312
Jenny K David Nurse Practitioner Mclaren Primary Care 5170 Rifle River Trl, Alger, MI 48610-9343
Kerri A Stephens Nurse Practitioner Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737
Kelsie L Passmore Physician Assistant Mclaren Primary Care 558 Lockwood Ln, Mio, MI 48647-9387
Michelle E Vanoosten Nurse Practitioner Mclaren Primary Care 2990 Campbell Rd, Rose City, MI 48654-9724
John P Wilkins Family Medicine Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737

Office Location

Street Address 2110 S M
76 SUITE 6
City WEST BRANCH
State MI
Zip 48661-8737

Physicians in the same location

Name Specialty Organization Address
Zebulon E Heidt Emergency Medicine Degara App Pllc 2110 S M, Suite 76, West Branch, MI 48661-8737
Kerri A Stephens Nurse Practitioner Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737
John P Wilkins Family Medicine Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737
Keri A Hodgins Nurse Practitioner Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737
Susan L Johnson Nurse Practitioner Mclaren Primary Care 2110 S M, 76 Suite 6, West Branch, MI 48661-8737

Physicians in the same zip code

Name Specialty Organization Address
Drew Marentette Chiropractic 110 E Houghton Ave, West Branch, MI 48661-1124
Ashley Wolosonowich Nurse Practitioner Midmichigan Medical Center-west Branch 335 E Houghton Ave, West Branch, MI 48661-1127
Marilyn E Buckley Nurse Practitioner 337 E Houghton Ave, Suite 3, West Branch, MI 48661-1127
Jose Mari G Jurado Physical Medicine and Rehabilitation Midmichigan Medical Center-west Branch 335 E Houghton Ave, West Branch, MI 48661-1127
Lisa M Warack Physician Assistant Midmichigan Medical Center-west Branch 335 E Houghton Ave, West Branch, MI 48661-1127
Rey A Franco Cardiovascular Disease (cardiology) Midmichigan Medical Center West Branch 335 E Houghton Ave, West Branch, MI 48661-1127
John N Dibella Interventional Pain Management 335 E Houghton Ave, West Branch, MI 48661-1127
Crystal C Wright Occupational Therapy 214 W Houghton Ave, Suite 4, West Branch, MI 48661-1220
Lesley L Lenahan Finkbeiner Optometry West Branch Eyecare PC 304 W Houghton Ave, Po Box 128, West Branch, MI 48661-1222
James A Barnhart Optometry West Branch Eyecare PC 304 W Houghton Ave, Po Box 128, West Branch, MI 48661-1222
Find all physicians in zip 48661

Competitor

Search similar physicians

City WEST BRANCH
Zip Code 48661
Specialty PHYSICIAN ASSISTANT
City + Specialty WEST BRANCH + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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