Individual provider · Type 1 NPI
Kimberly E. Buckley, RN
Administrator Registered Nurse · Clinton Township, MI
NPI number
1073148649
Active
Practice location
15600 19 Mile Rd
Clinton Township, MI 48038-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Administrator Registered Nurse Primary | 163WA2000X | 4704253097 (MI) |
Administrator Registered Nurse: Definition to come...
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About NPI 1073148649
Kimberly E. Buckley, RN's National Provider Identifier is 1073148649, issued on Mar 4, 2020. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Clinton Township, MI. The record was last updated on Mar 4, 2020.