| 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 |