Individual
JESSICA KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
(248) 338-5567
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
(248) 338-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017907
MI
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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