Individual
MS. KIMBERLY DENISE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE TOWNSHIP, MI 48167-9164
(866) 389-2727
Mailing address
23851 MORTON ST, OAK PARK, MI 48237-2111
(313) 409-9497
(313) 677-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704233839
MI
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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