KEVIN HETLAND (NPI# 1093056327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093056327 |
Entity Type | Individual |
Full Name | KEVIN HETLAND |
Credential | CO |
Practice Address |
2318 Gull Rd Ste A Kalamazoo MI 49048-3619 |
Practice Telephone | 2693451117 |
Mailing Telephone | 2693451117 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2318 GULL RD STE A |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-3619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487728341 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 2318 Gull Rd Ste A, Kalamazoo, MI 49048-3619 | 2006-11-20 |
1184965428 | Lissa Adams | Prosthetist | 2318 Gull Rd Ste A, Kalamazoo, MI 49048-3619 | 2013-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
Find all providers in zip 49048 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356682694 | Timothy Darling | Orthotist | 2318 Gull Rd, Kalamazoo, MI 49048-3619 | 2013-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215586623 | Matthew Mcewin | Orthotist | 41400 Dequindre Rd Ste 105, Sterling Heights, MI 48314-3751 | 2019-09-09 |
1043736424 | John Roberts-kinyon | Orthotist | 1383 Nottingham Rd, Grosse Pointe Park, MI 48230-1026 | 2017-08-17 |
1003338898 | Joshua Paul Ahlstrom | Orthotist | 1407 E Michigan Ave, Jackson, MI 49202-3517 | 2017-07-12 |
1689118671 | Melissa Ismet | Orthotist | 4314 Skusa Dr, Brighton, MI 48116-9720 | 2016-12-09 |
1336683358 | Jon Richard Tapio | Orthotist | 431 Front Street, Republic, MI 49879 | 2016-12-09 |
1063881530 | First Choice Orthotics and Prosthetics | Orthotist | 19189 15 Mile Rd, Clinton Township, MI 48035-2508 | 2015-09-15 |
1578951943 | Thomas Dunn | Orthotist | 314 N Walnut St, Second Floor, Lansing, MI 48933-1124 | 2015-01-07 |
1184043697 | Zia Rahman | Orthotist | 23255 Middlebelt Rd, Farmington Hills, MI 48336-3642 | 2014-04-11 |
1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
1477894848 | Duane R Hoeppner | Orthotist | 1005 E Michigan Ave, Jackson, MI 49201-2405 | 2013-03-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.