Individual
KIM BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 W GRAND BLVD, DETROIT, MI 48202-6013
(734) 335-7499
Mailing address
123 S MAINE CT, DETROIT, MI 48215-3969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000000
STATE OF MI
—
Enumeration date
02/09/2018
Last updated
12/17/2018
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