Kimberly Telenko

NPI 1891080420 · on the registry since 2011 · sole proprietor

Practice

Address: 29451 Plymouth Rd
T-2230
Livonia, MI 48150
Phone: (734) 793-0638
Fax: (734) 793-0648
Organisation at this address: Target Corporation
Clear Sky Eyecare, Llc
Woodward Detroit Cvs Llc
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-06-11

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