Dr. Traci Kimbrough, M.D.
Specialist in Troy, MI. Individual provider (NPI-1).
NPI number1235242587
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235242587
- Entity type
- Individual (NPI-1)
- Name
- Dr. Traci Kimbrough
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 067683 | MI | Yes |
Practice location
4600 Investment DrSuite 260
Troy, MI 48098-6365
Phone 248-267-5020 · Fax 248-267-5021
Mailing address
4600 Investment DrSuite 260
Troy, MI 48098-6365
Phone 248-267-5020 · Fax 248-267-5021
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