Kristy Darling
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Lennon, MI
NPI 1033745575 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1033745575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 5502002159 (MI)
- Practice address
- 893 Tyler Rd
Lennon, MI 48449-9309 - Phone
- (810) 877-0645
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502002159 | MI | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5502002159 | MI | Yes |
Addresses
Primary practice location
893 Tyler Rd
Lennon, MI 48449-9309
Mailing address
893 Tyler Rd
Lennon, MI 48449-9309
NPI Registry JSON
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1033745575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 TYLER RD",
"city": "LENNON",
"state": "MI",
"postal_code": "484499309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "893 TYLER RD",
"city": "LENNON",
"state": "MI",
"postal_code": "484499309",
"telephone_number": "810-877-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLING",
"first_name": "KRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5502002159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lennon, MI
- Hannah Clark
- Nicole Clifford
- Shelby Clover
- Shay Cook
- Lyndsey Cutsinger
- Traci Dilley
- Billie Jo Dodson
- Alexandra Renee English
- Kayla Sue Farley
- Tiffany Renee Fernandez
All providers in Lennon, MI · Physical Medicine & Rehabilitation Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.