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Contact Information

KIMBERLY K GRIEWAHN
17221 MANITOU ROAD
ADDISON, MI49220
 Phone: 517-206-2394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY K GRIEWAHN · (Female)

NPI # 1851941793
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2019
Last updated 09/12/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 230015914320812
  • MI Medicaid 7897473
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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