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NPI Code Detail

MEDICARE: KIMBERLY ANN YAGEMAN

MEDICARE: KIMBERLY ANN YAGEMAN
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
1225X00000XOccupational Therapist5201002503MI

General Provider Information

NPI Number : 1952889636
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN YAGEMAN
Provider Business Mailing Address
First Line : 1167 E HOPSON ST
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1555
Country : US
Telephone Number : 989-269-9983
Fax Number :
Provider Business Practice Location Address
First Line : 1167 E HOPSON ST
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1555
Country : US
Telephone Number : 989-269-9983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 08/03/2018

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Directions to “ KIMBERLY ANN YAGEMAN ” Practice Location

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