NPI 1003883414

Andrea Bell Kmiec, PAC

Practitioner Physician Assistant Detroit, MI

Practice location

Address: 2799 W Grand Blvd, Detroit, MI 48202-2689
Phone: (313) 916-2600
Mailing address: 1 Ford Pl STE 3a, Detroit, MI 48202-3450

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601003660 (MI)

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Registry record

NPI: 1003883414
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2006
Record last updated: 7 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.