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

Mrs. Kimberly K Provoast, PA

Individual provider Physician Assistant · NPI 1770899551

Mrs. Kimberly K Provoast, PA is a Physician Assistant in West Branch, Michigan. Qualified in 2010, 16 years ago. Practices with McLaren Central Michigan, a 179-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

337 E Houghton Ave
West Branch, MI 48661-1127
Phone: (989) 345-5240
Fax: (989) 345-4513
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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 5601005840 (MI)

Record details

NPI number1770899551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESOctober 18, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice McLaren Central Michigan — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Branch