Individual
KIMBERLY LONGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MILLER AVE STE 100, ANN ARBOR, MI 48103-3373
(407) 982-4876
(407) 650-2754
Mailing address
2100 ARBOR CIR E APT 103, YPSILANTI, MI 48197-3459
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
08/21/2025
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