Personalized Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007892 Issued in MI

Legal business name

PERSONALIZED FAMILY PRACTICE, PLLC

Practice address

212 S Main St FL 2
Brooklyn, MI 49230-9114

Phone

(517) 592-4847

Fax

(517) 938-8679

NPI assigned

Mar 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gene Emil Kielhorn, DO

Title

President

Phone

(517) 592-4847

Specialties & licenses 1

Addresses

Other names 1

• GENE E. KIELHORN, DO, MDVIP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl Julius Edelmann, MD

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1285632216

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1699279232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST FL 2",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309114",
            "telephone_number": "517-592-4847",
            "fax_number": "517-938-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST FL 2",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309114",
            "telephone_number": "517-592-4847",
            "fax_number": "517-938-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "KIELHORN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-592-4847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENE E. KIELHORN, DO, MDVIP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GENE E. KIELHORN, DO, MDVIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlize Myerchalk
• Navigations Counseling
• Eden Numbers, BSN, RN
• Jean Osborn, RPH
• Sharyl A Page
• Plentz Chiropractic Clinic Inc
• Edward George Plentz, D.C
• Psych Resolutions
• Tammy Ratz, LMSW, LPC
• Lauryn Reau

• Family Medicine Physician in Brooklyn, MI
• Providers in Brooklyn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.