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NPI Profile for KIMBERLY F HODOR in MACOMB, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI # | 1518210707 |
|
| Status | Active | |
| Credentials | NP-BC | |
| Entity | Individual | |
| Enumeration date | 10/25/2012 | |
| Last updated | 03/02/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY F HODOR
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KIMBERLY F HODOR, NP-BC