KSK MEDICAL PLLC
NPI 1043832801
General Practice in Manitou Beach, MI

Active since May 14, 2020
6300 WINTER RD, MANITOU BEACH, MI 49253(517) 306-2244(866) 465-0269 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ksk Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSK MEDICAL PLLC (NPI 1043832801) is a healthcare organization registered as a general practice in Manitou Beach, Michigan and active in the NPI registry since May 2020. The organization lists Robyn M Jones, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1043832801
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKSK MEDICAL PLLC
Location Address6300 WINTER RDManitou Beach, MI 49253-9634
Mailing Address6300 Winter RdManitou Beach, MI 49253-9634 · (517) 306-2244 · Fax (866) 465-0269
Fax(866) 465-0269
Organization SubpartNo
Authorized OfficialRobyn M JonesBusiness Manager · (517) 306-2244
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1043832801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6300 WINTER RD, Manitou Beach, MI 49253

Other Identifiers 1

Medicaid2426860OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ksk Medical PLLC's NPI number?

The NPI number for Ksk Medical PLLC is 1043832801. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Ksk Medical PLLC located?

Ksk Medical PLLC is located at 6300 Winter Rd, Manitou Beach, MI 49253. The listed phone number is (517) 306-2244.

What is Ksk Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ksk Medical PLLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.