Organization
DUO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMIKO L PARKS AGNP (ADMINISTRATOR)
(248) 798-3969
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT, SUITE 100, SOUTHFIELD, MI 48075
(248) 798-3969
Mailing address
19785 W 12 MILE RD # 389, SOUTHFIELD, MI 48076-2584
(248) 798-3969
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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