Individual
KIMBERLY M. WINSTON MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 4401 CONNER, DETROIT, MI 48215
(313) 823-9800
(313) 823-9883
Mailing address
HENRY FORD HEALTH SYSTEM, 4401 CONNER, DETROIT, MI 48215
(313) 823-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301063310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
337843310
—
MI
01
—
KW063310
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
03/25/2021
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