Kragt, Kimberly Anne

Kragt, Kimberly Anne is an individual health care provider with primary practice located at 1634 Gull Rd Lowr 201 , Kalamazoo MI 49048-1632. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kragt, Kimberly Anne can be contacted via phone (269) 343-2601.

Contact Information

Primary practice address
1634 Gull Rd Lowr 201 Kalamazoo MI 49048-1632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000124 Michigan

Profile Details

NPI number 1295836088
LBN Legal business name Kragt, Kimberly Anne
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 30th, 2022 - 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 1295836088 NPPES
Michigan Other 640C912410 BCBS - SERVICES
Michigan MEDICAID 4732600 BCBS - SERVICES
Michigan Other 540C912470 BCBS - SERVICES
Michigan MEDICAID 4732584 BCBS - SERVICES

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