Individual
KIM PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1034 WINDROW CT # 90812, BURTON, MI 48509-2377
(810) 287-9888
Mailing address
1034 WINDROW CT # 90812, BURTON, MI 48509-2377
(810) 287-9888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704240308
MI
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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