Dr Kristen Ann Kish, PHD, FLP, LPC is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. Her current practice location is
300 68th St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 455-5000.
Dr Kristen Ann Kish is licensed to practice in Michigan (license number 6301013600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952480253.
Healthcare Provider's Profile
| Full Name | Dr Kristen Ann Kish |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 300 68th St Se, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952480253
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 12/03/2014
Medicare PECOS Information:
- PECOS PAC ID: 2365536216
- Enrollment ID: I20081004000056
Medical Identifiers
Medical identifiers for Dr Kristen Ann Kish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952480253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 6401009215 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6301013600 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristen Ann Kish is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kristen Ann Kish, PHD, FLP, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Dr Kristen Ann Kish, PHD, FLP, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 |
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