Kim House, is a
Dietitian, Registered based in South Haven, Michigan. Kim House is licensed to practice in Michigan (license number 877154) and her current practice location is
955 S Bailey Ave, South Haven, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 639-2779.
NPI number for Kim House is 1174142442 and her current mailing address is 4635 Pine Dr, Holland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174142442.
Healthcare Provider's Profile
Full Name | Kim House |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 955 S Bailey Ave, South Haven, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174142442
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 11/27/2023
Medical Identifiers
Medical identifiers for Kim House such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174142442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 877154 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim House is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kim House, 4635 Pine Dr, Holland, MI 49423-8922 Ph: (616) 610-1204 | Kim House, 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2779 |
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