Individual
KEVIN EDWARD KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD.
Contact information
Practice address
19900 HAGGERTY RD, STE 111, LIVONIA, MI 48152
(734) 432-7811
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000736
MI
Other
Enumeration date
06/27/2016
Last updated
01/04/2019
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