Individual
KIMBERLY R FRIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 LANSING ST, SUITE 3A, CHARLOTTE, MI 48813-1696
(517) 543-0600
Mailing address
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 541-5870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KJ068519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080147795
RAILROAD MEDICARE
—
01
—
0803305452
BLUE CROSS BLUE SHIELD
MI
01
—
200000002175
PHP
MI
05
—
4149293
—
MI
Enumeration date
07/26/2006
Last updated
08/08/2016
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