Joseph Gordon Kaunda, | |
8841 Meadow Ln, Berrien Springs, MI 49103-1486 | |
(269) 277-7658 | |
Not Available |
Full Name | Joseph Gordon Kaunda |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 8841 Meadow Ln, Berrien Springs, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609494194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704268600 (Michigan) | Primary |
Entity Name | Intercare Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
Mailing Address | Practice Location Address |
---|---|
Joseph Gordon Kaunda, 8841 Meadow Ln, Berrien Springs, MI 49103-1486 Ph: (269) 277-7658 | Joseph Gordon Kaunda, 8841 Meadow Ln, Berrien Springs, MI 49103-1486 Ph: (269) 277-7658 |
Mr. Dalton Enrico Latham, NP- NURSE PRACTITION Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8521 Kephart Lane, Berrien Springs, MI 49103 Phone: 269-277-3260 | |
Marvelyn Elfreda Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8941 N Main St, Berrien Springs, MI 49103 Phone: 268-915-5425 | |
Mrs. Cherie Michelle Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222 Fax: 269-473-6880 | |
Aileen Henri-saturne, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10867 Ridgewood Trl, Berrien Springs, MI 49103 Phone: 770-318-3071 | |
Janet K Adams, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222 Fax: 269-473-6880 | |
Linda Song, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222 |