Individual
JULIA KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
590 SHORTRIDGE AVE, ROCHESTER HILLS, MI 48307-5141
(303) 888-4171
Mailing address
590 SHORTRIDGE AVE, ROCHESTER HILLS, MI 48307-5141
(303) 888-4171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704257061
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704257061
MI
Other
Enumeration date
07/11/2014
Last updated
10/24/2022
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