Provider Demographics
NPI:1598002297
Name:MILNER, KIM (BA-HIS)
Entity type:Individual
Prefix:MS
First Name:KIM
Middle Name:
Last Name:MILNER
Suffix:
Gender:F
Credentials:BA-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25882 ORCHARD LAKE RD.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336
Mailing Address - Country:US
Mailing Address - Phone:248-474-8161
Mailing Address - Fax:248-474-2966
Practice Address - Street 1:25882 ORCHARD LAKE RD.
Practice Address - Street 2:SUITE 103
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336
Practice Address - Country:US
Practice Address - Phone:248-474-8161
Practice Address - Fax:248-474-2966
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001430237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist