Deller, Kimberle S
Deller, Kimberle S is an individual health care provider with primary practice located at 18181 Oakwood Blvd Suite 208, Dearborn MI 48124-5032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Deller, Kimberle S can be contacted via phone (313) 271-5565.Contact Information
Primary practice address
18181 Oakwood Blvd Suite 208
Dearborn MI 48124-5032
Phone: (313) 271-5565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 4704113984 | Michigan |
Profile Details
| NPI number | 1194994186 |
|---|---|
| LBN Legal business name | Deller, Kimberle S |
| Credentials | MS APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Feb 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194994186 | NPPES |
| Michigan | Other | 4704113984 | STATE LICENSE |
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