Kim Amon
Individual provider Active NPI Licensed Practical Nurse · Davison, MI
NPI 1710381520 · NPPES record last updated Oct 22, 2014
Key facts
- NPI
- 1710381520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703040539 (MI)
- Practice address
- 7175 Timberwood Dr
Davison, MI 48423-9550 - Phone
- (810) 845-9195
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703040539 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703040539 | MI | Yes |
Addresses
Primary practice location
7175 Timberwood Dr
Davison, MI 48423-9550
Mailing address
7175 Timberwood Dr
Davison, MI 48423-9550
Phone (810) 845-9195
Other providers in Davison, MI
- Vicky Lynn Alvarez
- Amanda Winston MD PLLC
- American Hope Pharmacy PLLC
- Americana Seniors, LLC
- Hirenkumar Amin
- An Angel'S Touch in-Home Health Care, LLC
- Kathleen Elaine Anderson
- Aquila Counseling Center PLLC
- Art of Dentistry
- Asif Ishaque MD PC
All providers in Davison, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.