Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kids Creek Childrens Clinic PC

Organization Pediatrics Physician · NPI 1649291832

Kids Creek Childrens Clinic PC provides Pediatrics Physician services 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
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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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