NPI 1235242587

Traci Kimbrough, MD

Practitioner Specialist Troy, MI

Practice location

Address: 4600 Investment Dr Suite 260, Troy, MI 48098-6365
Phone: (248) 267-5020
Fax: (248) 267-5021

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 067683 (MI)

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Registry record

NPI: 1235242587
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2006
Record last updated: 8 Jul 2007

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.