| Ldk Iii Holdings, Llc | |
|
451 Hidden Meadows Dr Suite 120 Hillsdale MI 49242-9812 | |
| (517) 437-0010 | |
| (517) 437-0319 |
| Full Name | Ldk Iii Holdings, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 451 Hidden Meadows Dr, Hillsdale, Michigan |
| Authorized Official Name and Position | Lawrence Dustin Kimball (PHYSICIAN) |
| Authorized Official Contact | 5174370010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldk Iii Holdings, Llc 451 Hidden Meadows Dr Suite 120 Hillsdale MI 49242-9812 Ph: (517) 437-0010 | Ldk Iii Holdings, Llc 451 Hidden Meadows Dr Suite 120 Hillsdale MI 49242-9812 Ph: (517) 437-0010 |
| NPI Number | 1073929089 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 08/19/2014 |
| Medicare PECOS PAC ID | 5092935791 |
|---|---|
| Medicare Enrollment ID | O20141001000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073929089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010860 (Michigan) | Primary |
| Provider Name | Lawrence D Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346248937 PECOS PAC ID: 0840320024 Enrollment ID: I20100615000216 |
Hillsdale Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 E Bacon St, Hillsdale, MI 49242 Phone: 517-437-7040 | |
Center For Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 W Carleton Rd, Hillsdale, MI 49242 Phone: 517-748-5500 | |
Keith R. Baker Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 168 S Howell St, Hillsdale, MI 49242 Phone: 517-437-4451 | |
Leslie M Bennett Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 E Bacon St, Hillsdale, MI 49242 Phone: 517-437-7040 Fax: 517-437-7617 | |
Crystal M Jones Md Mph Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 W Carleton Rd, Suite 1, Hillsdale, MI 49242 Phone: 517-437-2490 | |
Dan E Mccance, D.o.p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1456 Hudson Rd, Hillsdale, MI 49242 Phone: 517-439-0200 |