Provider Demographics
NPI:1487403747
Name:KIHL, BRITTANY (GRADUATE STUDENT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KIHL
Suffix:
Gender:F
Credentials:GRADUATE STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30620 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-5914
Mailing Address - Country:US
Mailing Address - Phone:716-479-0507
Mailing Address - Fax:
Practice Address - Street 1:30620 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5914
Practice Address - Country:US
Practice Address - Phone:716-479-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center