| Ksk Medical Pllc | |
| 
					6300 Winter Rd Manitou Beach MI 49253-9634  | |
| (517) 306-2244 | |
| (866) 465-0269 | 
| Full Name | Ksk Medical Pllc | 
|---|---|
| Speciality | General Practice | 
| Location | 6300 Winter Rd, Manitou Beach, Michigan | 
| Authorized Official Name and Position | Robyn M Jones (BUSINESS MANAGER) | 
| Authorized Official Contact | 5173062244 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ksk Medical Pllc 6300 Winter Rd Manitou Beach MI 49253-9634 Ph: (517) 306-2244  | Ksk Medical Pllc 6300 Winter Rd Manitou Beach MI 49253-9634 Ph: (517) 306-2244  | 
| NPI Number | 1043832801 | 
|---|---|
| Provider Enumeration Date | 05/14/2020 | 
| Last Update Date | 05/14/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043832801 | NPI | - | NPPES | 
| 2426860 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |