Organization
AFTON NEPHROLOGY ASSOCIATES, P.C.
Active
Parent organization
AFTON NEPHROLOGY ASSOCIATES, P.C.
Other names
State Fair Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFTON NEPHROLOGY ASSOCIATES, P.C.
Authorized official
RACHEL DONALDSON KIMPSON M.D. (PRESIDENT)
(313) 574-5430
Entity
Organization
Contact information
Practice address
19445 AFTON RD, DETROIT, MI 48203-1437
(313) 574-5430
(734) 353-4108
Mailing address
19445 AFTON RD, DETROIT, MI 48203-1437
(313) 574-5430
(734) 353-4108
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301406139
MI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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