Active NPIIndividual provider

Kyla M Beckman, PA

Physician Assistant in Grand Rapids, Michigan

NPI Number1639582000
Practice location
100 Michigan St NE, Grand Rapids, MI 49503-2560
Fax
—
Last updated
June 29, 2026

Kyla Marie Beckman is a Physician Assistant based in Grand Rapids, MI. Kyla Marie Beckman practices in Grand Rapids, MI and has the professional credentials of PA. The NPI Number for Kyla Marie Beckman is 1639582000 and holds a License No. PA01911 (RI). The current practice location address for Kyla Marie Beckman is 100 Michigan St NE, Grand Rapids, MI 49503-2560 and can be reached out via phone at 616-391-0565.

Provider Profile Details

NPI Number
1639582000
Provider Name
Kyla Marie Beckman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Michigan St NE, Grand Rapids, MI 49503-2560
Phone Number
616-391-0565
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2014
Last Update Date
June 29, 2026
Certification Date
June 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Zip
49503-2560
Phone Number
616-391-0565
Grand Rapids, MI 49503Get directions →

Provider Business Mailing Address Details

Address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
City
Grand Rapids
State
MI
Zip
49503-2560

License Information

License Number (1)
PA01911
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5601008745
License State (2)
MI
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Grand Rapids, MI

View all Physician Assistants in Grand Rapids →

Frequently Asked Questions

What is the NPI number of Kyla M Beckman, PA?

The NPI number of Kyla M Beckman, PA is 1639582000. It was assigned on June 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Kyla M Beckman, PA?

Kyla M Beckman, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01911.

Where does Kyla M Beckman, PA practice?

The practice location is 100 Michigan St NE, Grand Rapids, MI 49503-2560. The office can be reached at 616-391-0565 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639582000 directly on the NPPES registry website.

Browse related providers