MRS. Kimberly K Provoast, PA
NPI #1770899551 in West Branch, Michigan
Provider Information
- NPI Number
- 1770899551
- Entity Type
- Individual
- Name
- MRS. Kimberly K Provoast, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 31, 2010
- Last Updated
- Oct 18, 2012
Practice Location
- Address
- 337 E HOUGHTON AVE
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-1127
- Phone
- (989) 345-5240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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