Individual
MRS. KIMBERLY HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7549 MOSCOW RD, HORTON, MI 49246-9301
(517) 740-7361
Mailing address
PO BOX 263, HANOVER, MI 49241-0263
(151) 789-0600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-4756-87
AUTO INSURANCE-PIP
MI
01
—
2603454090
AUTO INSURANCE- PIP
MI
Enumeration date
06/25/2021
Last updated
06/25/2021
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