Most Relevant Information
Provider Data
| NPI Number: | 1003368366 |
| Provider Name: | KIMBERLEY ANN NASH |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 6301016841 |
Most Important Dates
| Enumeration Date: | 11/02/2016 |
| Last Updated: | 11/02/2016 |
Provider Practice Location
18186 PINE E
BROWNSTOWN
MI
481938317
Practice Location Phone/Fax
| Phone: | 3134141399 |
| Fax: |
Provider Mailing Location
18186 PINE E
BROWNSTOWN
MI
481938317
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |