Individual
KIMBERLY KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 E ALEXANDRINE ST, DETROIT, MI 48201-2031
(313) 808-4499
Mailing address
4 E ALEXANDRINE ST, DETROIT, MI 48201-2031
(313) 808-4499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112760
MI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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