Individual
LETICIA KIMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 984-4202
Mailing address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 984-4202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5315017430
MI
Other
Enumeration date
08/16/2006
Last updated
11/10/2022
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