person
Joanne Ruth Kingsley, MD
Gynecology Physician in Jackson, Michigan
NPI 1497833446

Joanne Ruth Kingsley is a Gynecology Physician based in Jackson, MI and is specialized in Gynecology. Joanne Ruth Kingsley practices in Jackson, MI and has the professional credentials of MD. The NPI Number for Joanne Ruth Kingsley is 1497833446 and holds a License No. JK045630 (Michigan).

The current practice location address for Joanne Ruth Kingsley is 1931 Horton Rd, Jackson, MI and can be reached out via phone at 517-782-7510 and via fax at 517-782-7520.

Location: 1931 Horton Rd, Jackson, MI, 49203-5594
person
Provider Profile Details
NPI Number
1497833446
Provider Name
Joanne Ruth Kingsley
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1931 Horton Rd, Jackson, MI, 49203-5594
Phone Number
517-782-7510
Fax Number
517-782-7520
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0720045 01 MI PHP PROVIDER NUMBER
104778547 05 MI
300326016 01 MI TAX ID #
1603811241 01 MI BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1931 Horton Rd
City
State
Zip
49203-5594
Phone Number
517-782-7510
Fax Number
517-782-7520
person
Provider Business Mailing Address Details
Address
1931 Horton Rd
City
State
Zip
49203-5594
Phone Number
517-782-7510
Fax Number
517-782-7520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
JK045630 (Michigan)
Definition
Definition to come...
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