Individual
MS. KIMBERLY IRENE BADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 849-8721
(248) 849-8507
Mailing address
1229 N ALEXANDER AVE, ROYAL OAK, MI 48067-3630
(248) 765-9919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007904
MI
363AS0400X
Surgical Physician Assistant
PA9109996
FL
Other
Enumeration date
10/04/2016
Last updated
01/02/2020
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