Individual
KIM BRIGETTE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
26336 PARTRIDGE DRIVE, TAYLOR, MI 48081
(313) 580-6965
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704147670
MI
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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