Kira Rayn Massie, RDH
Individual provider Active NPI Dental Hygienist · Gwinn, MI
NPI 1265902258 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1265902258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2902018495 (MI)
- Practice address
- 301 Explorer St
Gwinn, MI 49841-2813 - Phone
- (906) 346-9275
- NPI assigned
- Dec 3, 2018
- 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 |
|---|---|---|---|
| 2902018495 | MI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902018495 | MI | Yes |
Addresses
Primary practice location
301 Explorer St
Gwinn, MI 49841-2813
Mailing address
30685 County Road 581
Ishpeming, MI 49849-9247
Phone (906) 236-5264
Other providers in Gwinn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. 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.