KEVIN FITZGERALD PMHNP-BC NPI 1487152633

NPI Information

NPI: 1487152633
Provider Name: KEVIN FITZGERALD, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
610 S BURDICK ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 381-3700
Get Directions

Kevin Fitzgerald, PMHNP-BC is a psychiatric/mental health nurse practitioner in Kalamazoo, MI with 6 years of experience. Kevin Fitzgerald, PMHNP-BC NPI is 1487152633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 S BURDICK ST
KALAMAZOO, MI
ZIP 49007-221
Phone: (269) 381-3700
Fax: (269) 381-3810

The NPI 1487152633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		4704305891	MICHIGAN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704305891	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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