Individual
MRS. KINGKHAN BORIBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3850 PELHAM ST, DEARBORN, MI 48124-3832
(313) 562-9500
(313) 562-7567
Mailing address
3850 PELHAM ST, DEARBORN, MI 48124-3832
(313) 562-9500
(313) 562-7567
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301031543
MI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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