Individual
DR. CAROLANN KIM KINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
29703 HOOVER RD, STE A, WARREN, MI 48093-2544
(586) 558-4081
(586) 558-4082
Mailing address
29703 HOOVER RD, STE A, WARREN, MI 48093-8901
(586) 558-4081
(586) 558-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CK012324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01338
BCBSM
MI
01
—
1185263
FIRST HEALTH
MI
01
—
130255
CARE CHOICES
MI
01
—
1316097942
UNITED HEALTH
MI
01
—
320018015 51
PPOM
MI
05
—
4494030 11
—
MI
01
—
5441662
AETNA
MI
01
—
G75704
HEALTH ALLIANCE PLAN
MI
Enumeration date
03/16/2006
Last updated
04/16/2015
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