| Kimberly Bartz Pllc | |
|
9809 Cherry Valley Ave Se Caledonia MI 49316-9592 | |
| (616) 886-8645 | |
| Not Available |
| Full Name | Kimberly Bartz Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 9809 Cherry Valley Ave Se, Caledonia, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Bartz Pllc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Kimberly Bartz Pllc 9809 Cherry Valley Ave Se Caledonia MI 49316-9592 Ph: (616) 886-8645 |
| NPI Number | 1790153856 |
|---|---|
| Provider Enumeration Date | 09/07/2015 |
| Last Update Date | 09/07/2015 |
| Medicare PECOS PAC ID | 7012225972 |
|---|---|
| Medicare Enrollment ID | O20150928000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790153856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090190 (Michigan) | Primary |
| Provider Name | Kimberly V Bartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003282146 PECOS PAC ID: 3375851231 Enrollment ID: I20150928000692 |
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