IndividualActive
Amy Kim
NPI 1427823632 · Family Nurse Practitioner · Waterford, MI
Provider details
- NPI number
- 1427823632
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704301583 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3145 Dixie Hwy
Waterford, MI 48328-1602
Phone: (248) 674-8530
Approximate (ZIP-level) locationGet directions
Mailing address
3145 Dixie Hwy
Waterford, MI 48328-1602
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.