Individual
KIMBERLY FRANCES HODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
21840 23 MILE, MACOMB, MI 48042
(586) 598-8115
Mailing address
21840 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704219487
MI
363LF0000X
Family Nurse Practitioner
Primary
4704219487
MI
Other
Enumeration date
10/25/2012
Last updated
03/02/2016
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