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KIMBERLY A PUMMILL MD PC NPI 1104005917


NPI Information

NPI: 1104005917
Provider Name: KIMBERLY A PUMMILL MD PC

Other Name: GRAND BLANC PLASTIC SURGERY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3595 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-7888
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KIMBERLY A PUMMILL MD PC is a specialist in Grand Blanc, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KIMBERLY A PUMMILL MD PC NPI is 1104005917. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Grand Blanc Plastic Surgery.

The provider's business location address is:

3595 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439-335
Phone: (810) 606-7888

The provider's authorized official is Kimberly Ann Pummill .
The authorized official title is Doctor and has the following contact phone number (810) 606-7888.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4301070280MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16U4349OTHERHAP
214465OTHERMCARE
37319368OTHERAETNA
4OP13640MEDICARE PINMICHIGAN
50251130OTHERMICHIGANBLUE CROSS
60993473OTHERMICHIGANHEALTH PLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.