Individual
KIMBERLY LYNNE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4067 E COURT ST STE 10, BURTON, MI 48509-2509
(810) 715-2020
(810) 715-2021
Mailing address
4067 E COURT ST STE 10, BURTON, MI 48509-2509
(810) 715-2020
(810) 715-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4801378
—
MI
Enumeration date
10/27/2006
Last updated
02/04/2022
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