Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2902014713 | MI |
NPI | 1043419765 |
---|---|
Provider Name | Ms. Kimberly Sue Browning |
First Address | Gwinn, MI 49841-2822 |
Second Address | Gwinn, MI 49841-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |