Mattina, Kimberly
Mattina, Kimberly is an individual health care provider with primary practice located at 26206 W 12 Mile Rd Ste 105 , Southfield MI 48034-1799. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mattina, Kimberly can be contacted via phone (248) 200-3715.Contact Information
Primary practice address
26206 W 12 Mile Rd Ste 105
Southfield MI 48034-1799
Phone: (248) 200-3715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704306684 | Michigan |
Profile Details
| NPI number | 1104231083 |
|---|---|
| LBN Legal business name | Mattina, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Sep 7th, 2023 - about 3 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.
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