Kiley, Jessica A

Kiley, Jessica A is an individual health care provider with primary practice located at 1035 Charlevoix Dr Ste 200 , Grand Ledge MI 48837-2223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Kiley, Jessica A can be contacted via phone (517) 626-3100.

Contact Information

Primary practice address
1035 Charlevoix Dr Ste 200 Grand Ledge MI 48837-2223
Phone: (517) 626-3100
Fax: (517) 626-3110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301088707 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301088707 Michigan

Profile Details

NPI number 1770670788
LBN Legal business name Kiley, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770670788 NPPES
Other OF96004 MEDICARE GROUP NUMBER
Other 4301088707 MEDICARE GROUP NUMBER

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