Search › Michigan › 363A00000X
Susan Kingbarry, PAC
NPI 1134145253 · on the registry since 2006
Practice
- Address
- 300 E Maiden Ln
Saint Joseph, MI 49085 - Phone
- (269) 429-7546
- Fax
- (269) 429-0807
- Organisation at this address
- Advanced Dermatology Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan