1750805727 NPI number — MS. KAYELA SUE ASPLUND NP-C

Table of content: MS. KAYELA SUE ASPLUND NP-C (NPI 1750805727)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750805727 NPI number — MS. KAYELA SUE ASPLUND NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASPLUND
Provider First Name:
KAYELA
Provider Middle Name:
SUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KUEHL
Provider Other First Name:
KAYELA
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1750805727
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
710 S LINCOLN ROAD
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
ESCANABA
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49829
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
906-280-4036
Provider Business Mailing Address Fax Number:
906-789-4406

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 W WASHINGTON STREET
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
MARQUETTE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-362-7546
Provider Business Practice Location Address Fax Number:
906-428-1881
Provider Enumeration Date:
08/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  4704250114 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1750805727 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: M05250086 . This is a "MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0878479 . This is a "BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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