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

Kelsey Kimble, PAC

Individual provider Physician Assistant · NPI 1558645291

Kelsey Kimble, PAC is a Physician Assistant in Jackson, Michigan. Qualified in 2011, 15 years ago. Practices with Center for Family Health, a 39-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

505 N Jackson St
Jackson, MI 49201-1266
Phone: (517) 748-5500
Fax: (517) 783-2728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006175 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601006175 (MI)

Record details

NPI number1558645291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 29, 2011
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address240 W Carleton Rd, Hillsdale, MI 49242-5034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Center For Family Health — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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