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Individual

KIMBERLY E BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 263-8688
Mailing address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 263-8688

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704253097
MI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/04/2020
Last updated
03/04/2020
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