Individual
KELLY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
23133 ORCHARD LAKE RD STE 100, FARMINGTON HILLS, MI 48336-3278
(248) 477-0100
(248) 477-6153
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704224324
MI
Other
Enumeration date
10/01/2014
Last updated
12/15/2020
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