Individual
KIMBERLY CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30488 MILFORD RD, NEW HUDSON, MI 48165-8583
(484) 374-6252
(248) 437-4665
Mailing address
1034 W ANN ARBOR TRL, PLYMOUTH, MI 48170-1502
(734) 667-5152
(734) 667-2579
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2020
Last updated
09/29/2021
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