Individual
DR. KIMBERLY A PUMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8384 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-7335
(810) 606-7888
(810) 606-6864
Mailing address
8384 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-1976
(810) 606-7888
(810) 606-6864
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301070280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251130
BLUE CROSS/BLUE SHIELD
MI
01
—
0993473
HEALTHPLUS
MI
01
—
0P13640
MEDICARE GROUP PTAN
MI
01
—
14465
MCARE
MI
01
—
300073509
COMMERCIAL INSURANCE
MI
05
—
4469908
—
MI
01
—
6U4349
HAP
MI
Enumeration date
06/10/2006
Last updated
01/22/2014
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