MRS. KIMBERLY L VERELLEN (NPI# 1891755104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891755104 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY L VERELLEN |
| Credential | PA-C |
| Practice Address |
4472 Main St Brown City MI 48416-7908 |
| Mailing Address |
228 School House Dr Imlay City MI 48444-1242 |
| Practice Telephone | 8103462751 |
| Practice Fax Number | 8103463238 |
| Mailing Telephone | 8107244021 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003348 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4472 MAIN ST |
| City | BROWN CITY |
| State | MI |
| Zip Code | 48416-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686534 | Margaret M Marth | Nurse Practitioner | 4472 Main St, Brown City, MI 48416-7908 | 2014-11-06 |
| 1720206600 | Daniel Timothy Kulick | Family Medicine | 4472 Main St, Brown City, MI 48416-7908 | 2007-04-23 |
| 1376695205 | Marlette Regional Hospital | Clinic/Center | 4472 Main St, Brown City, MI 48416-7908 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519602 | Mehgan Krick | Physical Therapist | 4217 Main St, Brown City, MI 48416 | 2011-08-16 |
| 1427136902 | Professional Rehab Services Inc. | Physical Therapist | 4233 Main Street, Brown City, MI 48416 | 2006-11-01 |
| 1700802030 | Ehardt's Pharmacy Inc. | Pharmacy | 4436 Main St., Brown City, MI 48416 | 2006-07-13 |
| 1548523848 | Ryan Scott Banks | Chiropractor | 4444 Main St, Brown City, MI 48416 | 2012-06-21 |
| 1033632906 | Corporate Concierge Health & Wellness, LLC | Clinic/Center | 4217 Main St, Brown City, MI 48416-7715 | 2017-07-21 |
| 1457961773 | Kimberley Pauline Rhode | Nurse Practitioner | 4219 1st St, Brown City, MI 48416-7716 | 2020-08-01 |
| 1265966675 | Andrea Ferguson | Behavior Technician | 7085 Lincoln St, Brown City, MI 48416-7916 | 2017-04-12 |
| 1689703357 | Kelly Jo Pavel | Counselor | 6949 Cade Rd, Brown City, MI 48416-9165 | 2007-03-05 |
| 1144769266 | Kayla Parr | Assistant Behavior Analyst | 15318 Jeddo Rd, Brown City, MI 48416-9510 | 2017-02-22 |
| 1043772353 | Taylor A Wood | Physical Therapy Assistant | 6615 Linck Rd, Brown City, MI 48416-9672 | 2019-04-04 |
| Find all providers in zip 48416 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | BROWN CITY |
| Zip Code | 48416 |
Please comment or provide details below to improve the information on MRS. KIMBERLY L VERELLEN.
| 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.