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

Kit Trombly Manteuffel

Individual provider Physician Assistant · NPI 1104885862

Kit Trombly Manteuffel is a Physician Assistant in Troy, Michigan. Qualified in 1986, 40 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
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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 5601001720 (MI)

Record details

NPI number1104885862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address3601 W 13 Mile Rd, 400-Fsc/Pcs, Royal Oak, MI 48073-6712

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Troy