Individual
KRISTEN KINGZETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 E CANFIELD ST, GENERAL MEDICINE AMBULATORY PRACTICE, DETROIT, MI 48201-1804
(313) 745-4525
(313) 966-7305
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301084552
MI
Other
Enumeration date
08/07/2007
Last updated
11/04/2013
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