Ldk III Holdings, LLC
NPI 1073929089ActiveOrganization· Family Medicine· Hillsdale, MI
Family Medicine in Hillsdale, Michigan, registered in NPPES in July 2014. The authorized official on file is Lawrence Dustin Kimball, D.O., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073929089 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2014 |
| Last updated in NPPES | Aug 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 5101010860 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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