Provider Demographics
NPI:1982571394
Name:CREECH, KALEIGH ANNE (PA-C)
Entity type:Individual
Prefix:MS
First Name:KALEIGH
Middle Name:ANNE
Last Name:CREECH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W NELSON ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-4444
Mailing Address - Country:US
Mailing Address - Phone:248-622-0641
Mailing Address - Fax:
Practice Address - Street 1:127 W NELSON ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4444
Practice Address - Country:US
Practice Address - Phone:248-622-0641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant