Most Relevant Information
Provider Data
| NPI Number: | 1003579004 |
| Provider Name: | KIMBERLY RORICK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601011370 |
Most Important Dates
| Enumeration Date: | 10/16/2021 |
| Last Updated: | 01/05/2024 |
Provider Practice Location
30300 TELEGRAPH RD STE 310
BINGHAM FARMS
MI
480255822
Practice Location Phone/Fax
| Phone: | 2484681889 |
| Fax: |
Provider Mailing Location
4447 BIG SKY TRL
INDIAN RIVER
MI
497499127
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |