JOANNE RUTH KINGSLEY M.D. NPI 1497833446

NPI Information

  • NPI: 1497833446
  • Provider Name: JOANNE RUTH KINGSLEY, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1931 HORTON RD
    SUITE 8
    JACKSON, MI
    ZIP 49203
  • Phone: (517) 782-7510

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NPI Details

Joanne Ruth Kingsley, M.D. is a gynecology obstetrics gynecology in Jackson, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Joanne Ruth Kingsley, M.D. NPI is 1497833446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1931 HORTON RD
SUITE 8
JACKSON, MI
ZIP 49203-594
Phone: (517) 782-7510
Fax: (517) 782-7520

The NPI 1497833446 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 11/1/2006 and was last updated on 2/17/2021.

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
1207VG0400XObstetrics & GynecologyGynecologyJK045630MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11603811241OTHERMICHIGANBCBS PROVIDER NUMBER
2104778547MEDICAIDMICHIGAN
3300326016OTHERMICHIGANTAX ID #
40720045OTHERMICHIGANPHP PROVIDER NUMBER

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: 11/21/2025

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