NPI: 1770933194 · OAK PARK, MI 48237 · Family Medicine Physician · NPI assigned 06/16/2016
| Authorized Official | KIMBROUGH, CHRISTINA (CEO) |
| NPI Enumeration Date | 06/16/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $759.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 12 | $759.56 |