Kimberly A Prevost

NPI #1295946044 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1295946044
Entity Type: Individual
Name: Kimberly A Prevost
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3051 COMMERCE DR
Address 2: STE 5
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3866
Phone: (810) 385-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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