Kierstin Dewitt, ND
Individual provider Active NPI Naturopath · Plymouth, MI
NPI 1407582398 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1407582398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099.0134130 (VT)
- Practice address
- 48441 Beaver Creek Dr
Plymouth, MI 48170-3373 - Phone
- (810) 357-8238
- NPI assigned
- Jul 25, 2022
- 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 |
|---|---|---|---|
| 099.0134130 | VT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099.0134130 | VT | Yes |
Addresses
Primary practice location
48441 Beaver Creek Dr
Plymouth, MI 48170-3373
Mailing address
48441 Beaver Creek Dr
Plymouth, MI 48170-3373
Phone (810) 357-8238
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. 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.