KEVIN POOLE JR. (NPI# 1598382905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598382905 |
| Entity Type | Individual |
| Full Name | KEVIN POOLE JR. |
| Credential | REGISTERED NURSE |
| Practice Address |
3044 Shabay Dr Bldg 1 Flushing MI 48433-2459 |
| Practice Telephone | 8102658514 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704350959 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NURSING LICENSE | 4704350959 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216696 | Kevin Ciesla Poole | Chiropractor | 911 Central Parkway North Suite 300, San Antonio, TX 78232 | 2012-09-05 |
| 1497770150 | Kevin J Poole | Family Medicine | 3025 Market St, Camp Hill, PA 17011-4518 | 2006-07-13 |
| 1477529915 | Kevin Roy Poole | Physician Assistant | Naval Hospital Great Lakes, 3001a Sixth St., Great Lakes, IL 60088 | 2006-02-24 |
| Street Address |
3044 SHABAY DR BLDG 1 |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359057 | Amenda Almonte | Registered Nurse | 15804 Sanford Ave Apt 2a, Flushing, NY 11358-2532 | 2020-06-07 |
| 1225512163 | Stacie Walston | Registered Nurse | 4252 158th St # 2, Flushing, NY 11358-2509 | 2018-09-17 |
| 1497262810 | Galina Murdakh | Registered Nurse | 15023 78th Rd, Flushing, NY 11367-3539 | 2018-01-08 |
| 1659801959 | Phuong Tu Truong | Registered Nurse | 4266 Kissena Blvd # F1, Flushing, NY 11355-3213 | 2017-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665981 | Kara Renee Mcintyre | Registered Nurse | 22725 S Keyes St, Taylor, MI 48180-4100 | 2019-08-23 |
| 1003379314 | Jaina Sabu Samuel | Registered Nurse | 49409 W Central Park, Shelby Twp, MI 48317-6355 | 2019-04-12 |
| 1386163830 | Dionne Lanette Wallace | Registered Nurse | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-09-15 |
| 1336490846 | Venus Yvonne Graham | Registered Nurse | 16950 Martin Rd, Roseville, MI 48066-4331 | 2012-09-24 |
| 1346425030 | Mary Louise Molis | Registered Nurse | 7700 92nd St Se, Caledonia, MI 49316-9593 | 2008-01-01 |
| 1972715787 | Marcy Lee Soutar | Registered Nurse | 1449 S Washington Ave, Royal Oak, MI 48067-3225 | 2007-05-04 |
| 1457460222 | Uaye Juliet Abai | Registered Nurse | 6773 Stonebrige Court, West Bloomfield, MI 48322 | 2006-08-29 |
| 1184635617 | Patricia E Dombrowski | Registered Nurse | 26402 W 11 Mile Rd, Southfield, MI 48034-2248 | 2006-08-10 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.