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 |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629034178 PECOS PAC ID: 4688564826 Enrollment ID: I20040319000346 |
Mailing Address | Practice Location Address |
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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 |