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NPI Code Detail

MEDICARE: JADIN KALMBAUGH

MEDICARE: JADIN KALMBAUGH
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1114880978
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADIN KALMBAUGH
Provider Business Mailing Address
First Line : 3095 VALLEY RIDGE CT
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-9021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E SHERMAN BLVD
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1849
Country : US
Telephone Number : 231-672-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ JADIN KALMBAUGH ” Practice Location

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