Kimberly Sevastopoulos

NPI 1316436942 · on the registry since 2018

Practice

Address: 111 Evergreen Rd
Springfield, MI 49037
Phone: (269) 969-6110
Fax: (269) 969-6120
Organisation at this address: Evergreen Manor Senior Care Centre, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan