# DUO HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417541954
- **Authorized official:** KIMIKO L PARKS AGNP (ADMINISTRATOR)
- **Authorized official phone:** (248) 798-3969

## Contact information

- **Practice address:** 17330 NORTHLAND PARK CT, SUITE 100, SOUTHFIELD, MI 48075
- **Practice address phone:** (248) 798-3969
- **Mailing address:** 19785 W 12 MILE RD \# 389, SOUTHFIELD, MI 48076-2584
- **Mailing address phone:** (248) 798-3969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 364SG0600X | Gerontology Clinical Nurse Specialist | — | NULL | Yes |
| 364SG0600X | Gerontology Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2021
- **Last updated:** 02/25/2021