Individual
MS. KIMBERLY ANN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
452 BAY ST, PONTIAC, MI 48342-1912
(248) 390-1430
Mailing address
452 BAY ST, PONTIAC, MI 48342-1912
(248) 390-1430
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MI
3747A0650X
Attendant Care Provider
—
MI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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