Individual
KIM ALMODOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI 48309-1779
(248) 656-4225
(248) 656-4250
Mailing address
1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI 48309-1779
(248) 656-4225
(248) 656-4250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65385
TN
207RG0100X
Gastroenterology Physician
1082
WI
207RG0100X
Gastroenterology Physician
4301053408
MI
207RG0100X
Gastroenterology Physician
63580
AZ
207RG0100X
Gastroenterology Physician
Primary
65385
TN
207RG0100X
Gastroenterology Physician
MD228049
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q26284
BCBSM
MI
05
—
4149444
—
MI
Enumeration date
01/31/2006
Last updated
05/01/2026
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