Wysocki, Kimberly Elizabeth

Wysocki, Kimberly Elizabeth is an individual health care provider with primary practice located at 52349 Forest Grv , Shelby Twp MI 48315-2316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wysocki, Kimberly Elizabeth can be contacted via phone (586) 909-0148.

Contact Information

Primary practice address
52349 Forest Grv Shelby Twp MI 48315-2316
Phone: (586) 909-0148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1275760639
LBN Legal business name Wysocki, Kimberly Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Jul 15th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275760639 NPPES
Michigan MEDICAID PENDING

Popular Providers