Behrens, Kimberley Gretchen

Behrens, Kimberley Gretchen is an individual health care provider with primary practice located at 6330 Orchard Lake Rd Suite 120, West Bloomfield MI 48322-2398. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Behrens, Kimberley Gretchen can be contacted via phone (248) 855-3366.

Contact Information

Primary practice address
6330 Orchard Lake Rd Suite 120 West Bloomfield MI 48322-2398
Phone: (248) 855-3366
Fax: (248) 855-6213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 35095061 Ohio
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2006001766 Missouri
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 4301091039 Michigan

Profile Details

NPI number 1326120023
LBN Legal business name Behrens, Kimberley Gretchen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Nov 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326120023 NPPES
Michigan MEDICAID 1326120023

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