SearchMichigan372500000X

Kimberly Blain

NPI 1659149789 · on the registry since 2023 · sole proprietor

Practice

Address
5404 Heath Ave
Clarkston, MI 48346
Phone
(248) 525-3836

Registry record

Primary taxonomy
372500000X
372500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-18

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