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NPI Code Detail

MEDICARE: BARBARA ANN KISH CFNP

MEDICARE: BARBARA ANN KISH CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704156952MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4500023635OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2500G310570OTHERMIBCBS
31010614OTHERMCLAREN HEALTH PLAN
5381908328OTHERTRICARE
6100OTHERMICOMMUNITY CHOICE
71010614OTHERHEALTH ADVANTAGE
8105431OTHERGREAT LAKES HEALTH PLAN
92976876OTHERMIMOLINA HEALTH CARE

General Provider Information

NPI Number : 1902894769
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN KISH CFNP
Provider Business Mailing Address
First Line : 501 LAPEER AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48607-1208
Country : US
Telephone Number : 989-759-6464
Fax Number : 989-399-8233
Provider Business Practice Location Address
First Line : 1522 JANES AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-1819
Country : US
Telephone Number : 989-755-0316
Fax Number : 989-755-0956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 04/09/2021

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