Basic Information
Provider Information
NPI: 1194764084
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PALFEY
FirstName: KIM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: PO BOX 0446 LOBBY J
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7343270872
FaxNumber: 7343276308
Practice Location
Address1: 4350 JACKSON RD STE 300
Address2:  
City: ANN ARBOR
State: MI
PostalCode: 481031889
CountryCode: US
TelephoneNumber: 7349952259
FaxNumber: 7349952418
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 08/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301054453MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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