Lookup NPI Numbers from the NPI Registry
NPI Profile for KYRIE HEYDENBURG in LANSING, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1144995697 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 08/16/2021 | |
| Last updated | 02/13/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KYRIE HEYDENBURG
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KYRIE HEYDENBURG, PA