Individual
KIMBERLY LES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3577 W 13 MILE RD, STE. 402, ROYAL OAK, MI 48073-6710
(248) 551-9910
Mailing address
750 STEPHENSON HWY, TROY, MI 48083-1103
(248) 577-3511
(248) 577-3526
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301059324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F361660
BCBSM
MI
05
—
3518786
—
MI
Enumeration date
03/23/2006
Last updated
10/23/2020
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