Amanda Kilpatrick
Individual provider Active NPI Dental Hygienist · Riley, MI
NPI 1609415595 · NPPES record last updated Dec 25, 2019
Key facts
- NPI
- 1609415595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2902016450 (MI)
- Practice address
- 11714 Belle River Rd
Riley, MI 48041-4322 - Phone
- (313) 260-2601
- NPI assigned
- Dec 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2902016450 | MI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902016450 | MI | Yes |
Addresses
Primary practice location
11714 Belle River Rd
Riley, MI 48041-4322
Mailing address
11714 Belle River Rd
Riley, MI 48041-4322
Phone (313) 260-2601
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DEARBORN |
Other providers in Riley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2019. 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.