Kinner, Carolann Kim

Kinner, Carolann Kim is an individual health care provider with primary practice located at 29703 Hoover Rd Ste A, Warren MI 48093-2544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kinner, Carolann Kim can be contacted via phone (586) 558-4081.

Contact Information

Primary practice address
29703 Hoover Rd Ste A Warren MI 48093-2544
Fax: (586) 558-4082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X CK012324 Michigan

Profile Details

NPI number 1306815089
LBN Legal business name Kinner, Carolann Kim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 16th, 2015 - about 9 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 1306815089 NPPES
Michigan MEDICAID 4494030 11
Michigan Other 130255
Michigan Other 5441662
Michigan Other 1185263
Michigan Other 1316097942
Michigan Other G75704
Michigan Other 0E01338
Michigan Other 320018015 51

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