Monroe, Kimberly K

Monroe, Kimberly K is an individual health care provider with primary practice located at 1500 E Medical Center Drive 12Th Floor Cs Mott Childrens Hospital Room 525, Ann Arbor MI 48109-4280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Monroe, Kimberly K can be contacted via phone (734) 763-5302.

Contact Information

Primary practice address
1500 E Medical Center Drive 12Th Floor Cs Mott Childrens Hospital Room 525 Ann Arbor MI 48109-4280
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-108058 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301096296 Michigan

Profile Details

NPI number 1124012984
LBN Legal business name Monroe, Kimberly K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 8th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124012984 NPPES
Illinois MEDICAID 036108058

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