Individual
KIMBERLY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(866) 389-3272
Mailing address
6599 KINGS MILL DR, CANTON, MI 48187-5476
(734) 578-2621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704267415
MI
Other
Enumeration date
03/02/2020
Last updated
11/10/2020
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