Provider Demographics
NPI:1992103600
Name:TOUCHSTONE, KIMBERLY R (RN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:R
Last Name:TOUCHSTONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:R
Other - Last Name:HATCHETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7605 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4403
Mailing Address - Country:US
Mailing Address - Phone:248-620-6024
Mailing Address - Fax:
Practice Address - Street 1:7605 ALLEN RD
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4403
Practice Address - Country:US
Practice Address - Phone:248-620-6024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704179158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse