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Mrs. Kimberly K Provoast, PA
Physician Assistant in West Branch, Michigan
NPI 1770899551

Kimberly K Provoast is a Physician Assistant based in West Branch, MI. Kimberly K Provoast practices in West Branch, MI and has the professional credentials of PA. The NPI Number for Kimberly K Provoast is 1770899551 and holds a License No. 5601005840 (Michigan).

The current practice location address for Kimberly K Provoast is 337 E Houghton Ave, West Branch, MI and can be reached out via phone at 989-345-5240 and via fax at 989-345-4513.

Location: 337 E Houghton Ave, West Branch, MI, 48661-1127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770899551
Provider Name
Kimberly K Provoast
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
337 E Houghton Ave, West Branch, MI, 48661-1127
Phone Number
989-345-5240
Fax Number
989-345-4513
Provider Enumeration Date
08/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629110556 01 MI GROUP NPI
5601005840 01 MI MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
337 E Houghton Ave
City
West Branch
State
Michigan
Zip
48661-1127
Phone Number
989-345-5240
Fax Number
989-345-4513
person
Provider Business Mailing Address Details
Address
337 E Houghton Ave
City
West Branch
State
Michigan
Zip
48661-1127
Phone Number
989-345-5240
Fax Number
989-345-4513
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601005840 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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