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Contact Information

KIMBERLY I BADE, PA-C
47601 GRAND RIVER AVE
NOVI, MI48374-1233
 Phone: 248-849-8721
 Fax: 248-849-8507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY I BADE · (Female)

NPI Number 1578013397
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/04/2016
Last updated 01/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9109996
  • MI License # 5601007904
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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