Piebenga, Kevin Jon

Piebenga, Kevin Jon is an individual health care provider with primary practice located at 3330 Central Blvd , Hudsonville MI 49426-1441. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Piebenga, Kevin Jon can be contacted via phone (616) 669-7525.

Contact Information

Primary practice address
3330 Central Blvd Hudsonville MI 49426-1441
Phone: (616) 669-7525
Fax: (616) 669-9952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 001527 Michigan

Profile Details

NPI number 1629034178
LBN Legal business name Piebenga, Kevin Jon
Credentials D.P.M., P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 2nd, 2012 - about 12 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 1629034178 NPPES
Michigan MEDICAID 2693413

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