Individual
KIMBERLY ANN ASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3714 COMANCHE AVE, FLINT, MI 48507-4305
(810) 308-2473
Mailing address
3714 COMANCHE AVE, FLINT, MI 48507-4305
(810) 308-2473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0103176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103176
PROVIDER NUMBER
MI
Enumeration date
11/12/2015
Last updated
11/12/2015
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