Individual
KIMBERLY RENEE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27335 BURNHAM BLVD UNIT 77, BROWNSTOWN, MI 48183-3594
(313) 449-2156
Mailing address
27335 BURNHAM BLVD #77, BROWNSTOWN, MI 48183
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27061666A
IN
164W00000X
Licensed Practical Nurse
Primary
4703102918
MI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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