Individual provider · Type 1 NPI

Kimberly Haggerty, PA

Physician Assistant · Detroit, MI

NPI number 1841884384 Active

Practice location

18463 Livernois Ave
Detroit, MI 48221-2254

Mailing address

14671 Telegraph Rd
Redford, MI 48239-3300

Other practice locations

  • 13251 E 10 Mile Rd, Warren, MI 48089-2050 · (586) 742-9200
  • 2900 Collins Rd Ste 6, Lansing, MI 48910-8394 · (517) 318-5907

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1841884384

Kimberly Haggerty, PA's National Provider Identifier is 1841884384, issued on Feb 25, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 21, 2026.