Individual
MRS. KIMBERLY MARIE KILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 W BIG BEAVER RD STE 100, BLOOMFIELD HILLS, MI 48304-3913
(248) 258-5100
(248) 258-5110
Mailing address
17799 BAYSIDE DR, MACOMB, MI 48042-1173
(810) 656-9840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018586
NY
363A00000X
Physician Assistant
5601007307
MI
Other
Enumeration date
03/27/2015
Last updated
09/03/2019
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