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CALEB JAMES KINGMA
NPI 1811752991
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since February 16, 2024
2206 E NORTHSIDE DR, JACKSON, MS 39211(616) 206-5533 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caleb James Kingma NPPES

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

CALEB JAMES KINGMA (NPI 1811752991) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1811752991
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALEB JAMES KINGMA
Location Address2206 E NORTHSIDE DRJackson, MS 39211-5829
Mailing Address2206 E Northside DrJackson, MS 39211-5829 · (616) 206-5533
Phone(616) 206-5533
Sole ProprietorNo
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1811752991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2206 E NORTHSIDE DR, Jackson, MS 39211
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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 Caleb Kingma's NPI number?

The NPI number for Caleb Kingma is 1811752991. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Caleb Kingma located?

Caleb Kingma practices at 2206 E Northside Dr, Jackson, MS 39211. The listed phone number is (616) 206-5533.

What is Caleb Kingma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Caleb Kingma was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.