Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY SANDERS
Active Sole Proprietor3104A0630X · DETROIT, MI
Registration Details
- NPI Number
- 1962386854
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2025 (0.71496161271398 yrs)
- Last Updated
- Sep 19, 2025
- Licenses
-
AS820418004 (MI)AS820418004 (MI)AS820418004 (MI)AS820418004 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14848 FENKELL STDETROIT, MI, 482272646Browse MI providers · Browse ZIP 48227
- Phone
- 2484218668
- Primary Specialty
-
3104A0630X
3104A0630X
- Additional Specialty
- Rural Ambulance
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
- Additional Specialty
- 3104A0630X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.