| Kimberly Abraham, Pllc | |
|
335 Sunrise Dr Flushing MI 48433-2125 | |
| (810) 813-2105 | |
| Not Available |
| Full Name | Kimberly Abraham, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 335 Sunrise Dr, Flushing, Michigan |
| Authorized Official Name and Position | Kimberly Abraham (OWNER) |
| Authorized Official Contact | 8108132105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Abraham, Pllc 335 Sunrise Dr Flushing MI 48433-2125 Ph: (810) 813-2105 | Kimberly Abraham, Pllc 335 Sunrise Dr Flushing MI 48433-2125 Ph: (810) 813-2105 |
| NPI Number | 1669086286 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Medicare PECOS PAC ID | 3072926716 |
|---|---|
| Medicare Enrollment ID | O20210119001834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669086286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kimberly Rhea Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770695710 PECOS PAC ID: 4587793583 Enrollment ID: I20100601000687 |
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