Individual
MRS. KIMBERLY M. BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(313) 570-6360
Mailing address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(313) 570-6360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704176196
MI
Other
Enumeration date
09/21/2007
Last updated
09/24/2014
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