Individual provider · Type 1 NPI

Kimberly Longsworth

Other Specialist/Technologist · Ann Arbor, MI

NPI number 1902628951 Active

Practice location

310 Miller Ave Ste 100
Ann Arbor, MI 48103-3373

Call (407) 982-4876 Map

Fax (407) 650-2754

Mailing address

2100 Arbor Cir E Apt 103
Ypsilanti, MI 48197-3459

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1902628951

Kimberly Longsworth's National Provider Identifier is 1902628951, issued on Oct 30, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 21, 2025.