| Kevin J. Piebenga D.p.m. P.c. | |
|
3330 Central Boulevard, Hudsonville, MI 49426-4114 | |
| (616) 669-7525 | |
| (616) 669-9952 |
| Full Name | Kevin J. Piebenga D.p.m. P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 3330 Central Boulevard, Hudsonville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215293550 | NPI | - | NPPES |
| 2693413 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
| Provider Name | Kevin J Piebenga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629034178 PECOS PAC ID: 4688564826 Enrollment ID: I20040319000346 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J. Piebenga D.p.m. P.c. 3330 Central Blvd, Hudsonville, MI 49426-1441 Ph: (616) 669-7525 | Kevin J. Piebenga D.p.m. P.c. 3330 Central Boulevard, Hudsonville, MI 49426-4114 Ph: (616) 669-7525 |
Dr. Kevin Jon Piebenga, D.P.M., P.C. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3330 Central Blvd, Hudsonville, MI 49426 Phone: 616-669-7525 Fax: 616-669-9952 | |
Spectrum Health Primary Care Partners Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3152 Port Sheldon St, Hudsonville, MI 49426 Phone: 616-786-4008 |