| Kristina Mckibbin, FNP-BC | |
|
40600 Ann Arbor Rd E, Plymouth, MI 48170-4675 | |
| (248) 266-1521 | |
| Not Available |
| Full Name | Kristina Mckibbin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 40600 Ann Arbor Rd E, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609692151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704241925 (Michigan) | Primary |
| Entity Name | Promed Preferred Mi 2 Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245049311 PECOS PAC ID: 0345779369 Enrollment ID: O20250121001741 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Mckibbin, FNP-BC 2261 E Burt Rd, Camden, MI 49232-9793 Ph: (517) 932-8705 | Kristina Mckibbin, FNP-BC 40600 Ann Arbor Rd E, Plymouth, MI 48170-4675 Ph: (248) 266-1521 |
Phyllis Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170 Phone: 574-546-1900 Fax: 574-546-1999 | |
Kimberly Colleen Snowdon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Thimg Primary Care - Southeast Livonia, 29370 Plymouth Rd Ste 100, Plymouth, MI 48150 Phone: 734-655-8200 Fax: 734-655-8210 | |
Deborah Sue Dunn, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6380 Napier Rd, Plymouth, MI 48170 Phone: 734-451-7553 | |
Marie Sedillo, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45211 Helm St, Plymouth, MI 48170 Phone: 734-525-9712 | |
Kyle M Farr, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 Starkweather St Ste C, Plymouth, MI 48170 Phone: 734-259-2804 Fax: 734-259-2805 | |
Laura Leblanc, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 York St, Plymouth, MI 48170 Phone: 810-287-1488 Fax: 734-462-0344 | |
Kathryn Marie Kumor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9215 Marlowe Ave, Plymouth, MI 48170 Phone: 734-673-1931 |