Individual
AMY C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
(248) 674-8530
Mailing address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
(248) 674-8530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704301583
MI
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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