MEDICARE: KIRAH HELEN SWEET PA-C

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
1	363A00000X	Physician Assistant	5601012482	MI

General Provider Information

NPI Number	:	1689420671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRAH HELEN SWEET PA-C

Provider Business Mailing Address
First Line	:	75 BUSCHLEN RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9177
Country	:	US
Telephone Number	:	989-236-9300
Fax Number	:	989-269-0243

Provider Business Practice Location Address
First Line	:	75 BUSCHLEN RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9177
Country	:	US
Telephone Number	:	989-623-9300
Fax Number	:	989-269-0243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	07/17/2025

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Directions to “ KIRAH HELEN SWEET PA-C” Practice Location

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