Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kids Creek Childrens Clinic PC

Organization Pediatrics Physician · NPI 1649291832

Kids Creek Childrens Clinic PC is a Pediatrics Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5024 N Royal Dr
Traverse City, MI 49684-9230
Phone: (231) 935-0555
Fax: (231) 935-0562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (MI)

Record details

NPI number1649291832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Mullen — Practice Administrator · (231) 935-0555
NPI enumeratedJuly 22, 2006
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address5024 N Royal Dr, Traverse City, MI 49684-9230

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