Active NPI
John D Kehl, PA
- Medical Physician Assistant
- Delton, MI
National Provider Identifier
1013023621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601001735
- Practice address
- 11275 Sprague Rd
Delton, MI 49046-8493 - Phone
- (269) 623-7121
- Fax
- (269) 623-5527
- NPI assigned
- Aug 23, 2006
- Last updated
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601001735 | MI | Primary |
Addresses
Primary practice location
11275 Sprague Rd
Delton, MI 49046-8493
Mailing address
11275 Sprague Rd
Delton, MI 49046-8493
Phone (269) 623-7121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371573958 | Other | MI | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Kelsey | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Personal Emergency Response Attendant
- Lakeview, MI
- NPI 1902941057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1013023621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11275 SPRAGUE RD",
"city": "DELTON",
"state": "MI",
"postal_code": "490468493",
"telephone_number": "269-623-7121",
"fax_number": "269-623-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11275 SPRAGUE RD",
"city": "DELTON",
"state": "MI",
"postal_code": "490468493",
"telephone_number": "269-623-7121",
"fax_number": "269-623-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "JOHN",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601001735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "371573958",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delton, MI
- Delton Family Pharmacy Inc (Delton Family Pharmacy)
- Delton Family Pharmacy Inc (Delton Family Pharmacy)
- Lyndsay Elyse Eckhart, CBD
- Sallie Mae Emert
- JCR DO PLC (Delton Medical Center)
- Tyler Koerth, ATC
- Logan Dakota Lockridge, PHARMD
- Mary A Martin, CNM
- Deborah Lynn Pace
- Pennock Hospital (CHPNH TM Clinic Delton Kellog)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.