Individual
KELSEY KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
(517) 783-2728
Mailing address
240 W CARLETON RD, HILLSDALE, MI 49242-5034
(517) 212-8140
(517) 212-8141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006175
MI
363AM0700X
Medical Physician Assistant
5601006175
MI
Other
Enumeration date
09/29/2011
Last updated
01/28/2021
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