Individual
NANCY KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(313) 292-7640
Mailing address
23850 MARSHALL ST, DEARBORN, MI 48124-1435
(313) 826-2381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704260062
MI
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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