NPI 1114220704

Kimberly Anne Veres Hannah, PAC

Practitioner Physician Assistant Northville, MI

Practice location

Address: 39901 Traditions Dr Suite 110, Northville, MI 48168-9493
Phone: (248) 305-4400
Mailing address: 3621 S State St 700 Kms Place, Ann Arbor, MI 48108

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008166 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 21298 (CA)

Registry record

NPI: 1114220704
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2010
Record last updated: 10 May 2017

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.