Individual
MS. KIMBERLY ANN TOLSTYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CCM
Contact information
Practice address
23475 STACEY DR, BROWNSTOWN TOWNSHIP, MI 48183-5473
(734) 789-9902
(734) 789-9903
Mailing address
23475 STACEY DR, BROWNSTOWN TOWNSHIP, MI 48183-5473
(734) 789-9902
(734) 789-9903
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00064415
CCM
—
01
—
201685
RN
OH
01
—
4704194576
RN
MI
Enumeration date
06/12/2009
Last updated
06/12/2009
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