Todd M Kreykes, PA.C
Physician Assistant in South Boardman, MI. Individual provider (NPI-1).
NPI number1750366308
StatusActive
Last updated in NPPESDec 11, 2012
Details
- NPI
- 1750366308
- Entity type
- Individual (NPI-1)
- Name
- Todd M Kreykes
- Credential
- PA.C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2005
- Last updated
- Dec 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 069428 | MI | Yes |
Practice location
4713 Pine St SwSouth Boardman, MI 49680-9761
Phone 231-369-2656 · Fax 231-369-2662
Mailing address
4713 Pine St SwSouth Boardman, MI 49680-9761
Phone 231-369-2656 · Fax 231-369-2662
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.